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Credentialing Coordinator

Company: Parkview Regional Hospital
Location: Mexia
Posted on: May 15, 2022

Job Description:

Parkview Regional HospitalResponsible for maintaining accurate records of credentials and licensing information for medical staff members.Maintaining accurate records of the credential and licensing information for medical staff membersWorks with providers to elicit all necessary documentation for payor enrollment (clinics)Coordinates and prepares packet for submissionWorks with Payor enrollment to ensure payor enrollment insurance resubmissions are maintainedMaintains scheduling grid so dissemination of information to clinics is timely & accurateMonitors when credentials are expiring, making sure all providers meet accreditation and regulatorystandardsFacilitates credentialing functions, such as application management and primary source verification; assists indeveloping, managing and monitoring processes and procedures that support the credentialing, recredentialing and maintenance processes.Provides the Medical Staff functions with administrative support.Processes appointments and reappointments according to policies and procedures within the parametersestablished by Administration, Medical Staff Leaders, and the Medical Staff BylawsProcesses and verifies MD time cards for call payProvide support services to the Manager of Medical Staff Services as directed, including attendingdepartment/committee meetings and transcribing minutesMaintains the PRMC Call Schedule for specialists, alerting administration with any uncovered time or issuesAssists with development, planning and implementation of processesResponds to request for verification of membership from other facilities and managed care organizationsCoordinates meetings related to Provider Call Pay with physicians and third party administratorsProvides Administration with related reports, as requestedPrepares statistical reports and performs clerical functions such as preparing and sending outgoing mail,distributing incoming mail, maintaining filing systems, entering data and maintaining databases, typingdocuments and correspondenceAll other job duties as assignedJob Requirements:High School Diploma or GED X RequiredAssociate's degree in related field X PreferredRequires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must beable to work in a stressful environment and take appropriate action.Five (5) years of experience in a responsible clerical/administrative position-requiredMedical Staff Credentialing experience-preferredLifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.

Keywords: Parkview Regional Hospital, Waco , Credentialing Coordinator, Other , Mexia, Texas

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