Credentialing Coordinator

Position Summary

Provides general administrative and clerical tasks within the department and provides backup administrative support, if needed; maintains critical and confidential credentialing, privileging, provider enrollment and peer review information; executive correspondence; ongoing- professional, performance evaluations (OPPE); and focused professional performance evaluations (FPPE). Recognize and maturely handle a variety of situations, often of a confidential or urgent nature.

Primary Position Responsibilities

1. Administrative Support - Dictate and transcribe Committee meetings, e.g. Credentialiing Committee, Medical Executive Committee, General Medical Staff and other committees assigned by the Manager. Assistance with events, e.g., Doctors Day delivery of appreciation gifts.
2. Application Processing - Follow application processes, e.g. primary source verification, audit application for completeness, notify practitioner of any incomplete or oustanding documents, self file audits when applicaiton is completed.
3. Provider Enrollment - Follow processes for PECOS, CAQH, Medicaid, and NPPES processes.
4. Customer Service
5. Data Entry - Uploading documents, linking documents, etc
7. Unassigned Call Schedule -Update the unassigned On-Call Schedule as needed. This includes auditing the on-call schedule on a weekly basis.

Qualifications

Minimum Education:

Required:

High School Graduate or Equivalent

Preferred:

Certificate and/or Advanced Specialized or Technical Training in Medical Staff Services or Associate Degree

Minimum Years of Experience (Amount, Type and Variation):

Required:

one year of experience in the healthcare field is required

Preferred:

Two (2) years of credentialing or provider enrollment experience.

License, Registry or Certification:

Required:

None

Preferred:

Certification by NAMSS as a Certified Provider Credentials Specialist (CPCS) or the ability to become certified within the time periods established by NAMSS from date of hire.

Knowledge, Skills and/or Abilities:

Required:

Ability to prioritize, work in a fast-paced environment; meet ongoing schedules and deadlines, detailed oriented, organized, good judment, self motivated, ability to multi task and work independently. Proficient in the use of multiple computer software programs

Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings.

The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant’s hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).