Credentialing Coordinator

Requisition ID
2017-1859
# of Openings
1
Category
General and Administration
US-MA-Woburn

Overview

The Credentialing Coordinator is responsible for all aspects of credentialing and re-credentialing of health care professionals within the National Physician Recruitment Department. This position ensures all health care professionals are appropriately credentialed, which includes the responsibility of maintaining current information on file and within the health care professional database. This position primarily works independently, but frequently coordinates with the Physician Recruitment Team and aids in facilitating physician recruitment.

Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES TO PERFORM THIS JOB SUCCESSFULLY INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING:

  • Responsible for the completion of health care professional credentialing and re-credentialing for inclusion in the national health care professional network.  
  • Collects and confirms all source documentation including but not limited to: Licensing, specialty certifications, proof of liability insurance, and any/all other required documentation directly from the applicable state licensing authorities, National Practitioner Data Bank (NPDB) and/or other sources as required.
  • Responsible to maintain the national health care professional database and ensures up-to-date information is obtained at all times.
  • Responsible for monitoring and managing all re-credentialing requirements and to ensure the collection of all required renewal certifications are on file within the required time frame.
  • Provides consistent and timely follow-up on all outstanding credentialing/recredentialing needs. 
  • Assists National Physician Recruiters with general administrative support services when needed.
  • Closes and archives all health care professional files for those no longer participating within the network.
  • Promotes physician relations and assists with customer service needs as required.
  • Assists with special credentialing projects as directed by Management.
  • Maintains privacy and confidentiality of records and information at all times.
  • Participates in various educational/training or recruitment meetings as required.
  • Performs other duties as assigned by Management.

Qualifications

EDUCATION AND/OR EXPERIENCE

High school diploma or equivalent required. A minimum of two years of office experience required with on the job experience in a medical office or related field preferred.

 

QUALIFICATIONS 

  • Must be able to operate a general computer, fax, copier, scanner, and telephone.
  • Must be a qualified word processor  with a minimum of 40 W.P.M
  • Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
  • Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions when clarification is needed.
  • Must possess excellent skills in English usage, grammar, punctuation and style.
  • Ability to follow instructions and respond to Managements’ directions accurately.
  • Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
  • Must be able to work independently, prioritize work activities and use time efficiently.
  • Must be able to maintain confidentiality.
  • Must be able to demonstrate and promote a positive team -oriented environment.
  • Must be able to stay focused and concentrate under normal or heavy distractions.
  • Must be able to work well under pressure and or stressful conditions.
  • Must possess the ability to manage change, delays, or unexpected events appropriately.
  • Demonstrates reliability and abides by the company attendance policy.
  • Must maintain a professional and clean appearance at all times consistent with company standards.

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