Apply Now Coordinator Credentialing Job in San Antonio
Responsible for coordinating, monitoring, and maintaining the credentialing and re-credentialing process within the ASC service line. Ensures interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statutes and laws relating to credentialing. Responsible for the accuracy and integrity of the approved credentialing database. The Credentialing Coordinator advises CVO associates on levels of priority in an expeditious manner. Effectively communicates with facility Administration.
- Coordinates and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility.
- Assist facility with preparation of State, Federal and AAAHC survey compliance.
- Identifies issues that require additional investigation and evaluation, validates discrepancies, and ensures appropriate follow-up.
- Reviews necessary documentation and verifications prior to submittal to clients, ensuring turnaround time and quality of data is within required metrics.
- Responds to inquiries from other healthcare organizations, interfaces with internal/ external customers on day-to-day credentialing/privileging issues as they arise.
- Meets weekly performance metrics which includes: file completion, quality, reporting and turnaround time.
- Utilizes and maintains the credentialing database, optimizing efficiency, and performs queries, reports, and document generation.
- Timely data entry into approved information management system for physician and Allied Health Professionals demographic information, key dates related to license expiration and occupational health.
- Serves as a liaison between the ASC service line, CVO and facility Administration.
- Bachelor’s Degree or equivalent job related experience
- Minimum of at least three (3) years experience related to hospital or managed care credentialing.
- Certified Provider Credentialing Specialist (CPCS) preferred