• Job Description

  Req#: 2606227

  Description

  ABOUT US

  In 1981, fueled by the desire to provide quality, accessible healthcare to migrant and farm workers in their community, five visionary women laid the foundation of what would later become Tri-Cities Community Health (TCCH). As a Federally Qualified Health Center (FQHC), TCCH stands tall in the community, boasting six clinical sites strategically positioned to provide comprehensive primary care services to the underserved populations of Pasco, Kennewick, Richland, and the neighboring cities. Serving as the trusted medical home for our patients, TCCH offers a wide range of services - from dental care, optometry, and pharmacy needs to behavioral health and endocrinology. Our spectrum of services is continually expanding as our community grows. Our excellent care extends beyond the walls of our clinics, seamlessly connecting patients to vital social services like WIC and Maternal Support Services. And for those facing logistical barriers, we go the extra mile, ensuring access to prescribed medication by delivering directly to their doorstep. Everything we do reflects our core values of Quality, Respect, and Service.

  
  

  OPPORTUNITY

  TCCH is recruiting a Credentialing Coordinator to join our team within the Pasco administrative building. We are seeking passionate, driven individuals who align with our values of Quality, Respect, and Service, and are eager to make a meaningful impact on the well-being of our patients through delivery of exceptional care. The Credentialing Coordinator is responsible for all aspects of the credentialing, re-credentialing and privileging processes for all providers who provide patient care at Tri-Cities Community Health. Responsible for ensuring providers are credentialed, appointed, and privileged with the organization, health plans, and hospitals (if applicable) Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications. Initiates and maintains facility or location credentialing for all in-scope facilities.

  
  

  FUNCTIONS

  1. Compiles and maintains current and accurate data for all providers.

  2. Completes provider credentialing and re-credentialing applications, including primary sourcing functions; monitors applications and follows-up as needed.

  3. Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.

  4. Maintains accurate and up-to-date records of provider credentials and privileges.

  5. Maintains knowledge of current health plan and agency requirements for credentialing providers.

  6. Sets up and maintains provider information in online credentialing databases and system.

  7. Tracks license and certification expirations for all providers to ensure timely renewals.

  8. Ensures practice addresses are current with health plans, agencies and other entities. Ensure process aligns with medical staff bylaws and regulatory requirements.

  9. Processes applications for appointment and reappointment of privileges to Tri-Cities Community Health.

  10. Tracks license, DEA and professional liability expirations for appointed ASC providers.

  11. Maintains ASC appointment files, and information in credentialing database.

  12. Audits health plan directories for current and accurate provider information.

  13. Completes initial facility applications to credential locations with all payers including Medicare, Medicaid and Commercial payers.

  14. Maintains facility credentials and processes updates or changes as needed

  15. Stays informed about updates and changes in relevant regulations to ensure compliance.

  16. Serves as the primary point of contact between the medical staff and administration.

  17. ADDITIONAL RESPONSIBILITIES:

  a. Schedule, coordinate, and facilitate medical staff committee meetings.

  b. Ensure timely distribution of meeting agendas, minutes, and relevant documentation.

  c. Actively participates in meetings, recording discussions, decisions, and action items.

  d. Provide executive secretarial support to the elected chair and other medical staff officers.

  e. Manage administrative tasks, correspondence, and communications on behalf of the medical staff leadership.

  f. Performs other duties as assigned.

  
  

  SCHEDULE / LOCATION

  • Monday-Friday, 8am to 5pm
  • Pasco Administrative Building – 800 W Court St, Pasco, WA 99301

  
  

  WAGE / STATUS

  • $26.68 - $36.02/hour
  • This is a non-exempt position

  
  

  BENEFITS AND WELL-BEING

  • A Monday to Friday schedule for creating a healthy work-life balance
  • Competitive pay for highly qualified individuals (you!)
  • Benefits package including medical, dental, vision, life, disability, retirement with employer match, and paid sick/vacation time
  • Conveniently located within a 3-4 hour drive to major metropolitan areas such as Seattle, Portland, Spokane, and Coeur d’Alene
  • Conveniently located between major outdoor recreational hubs such as Mount Rainier National Park, White Pass/Bluewood/Schweitzer Ski Resorts, Snoqualmie/Palouse/Multnomah Falls, wine country, and more!

  
  

  WHY TCCH?

  At Tri-Cities Community Health, we are dedicated to making a lasting impact on the lives of others while keeping pace with our rapidly growing community. Enjoy flexible scheduling, excellent benefits, and a fulfilling work-life balance that allows you to embrace the 300 days of sunshine the Tri-Cities has to offer! As a healthcare professional with TCCH, you’ll be a part of a collaborative team focused on providing comprehensive care to the underserved and underinsured populations of our community – creating meaningful, generational change.

  Requirements

  • High school diploma or equivalent.
  • Minimum of 1 year of experience in medical staff support services or medical secretarial roles. Two years of relevant credentialing experience preferred.
  • Two years of relevant credentialing experience, preferred
  • Certified Provider Credentialing Specialist (CPCS), preferred
  • Knowledge and understanding of the credentialing process.
  • Ability to organize and prioritize work and manage multiple priorities.
  • Excellent verbal and written communication skills including, letters, memos and emails.
  • Excellent attention to detail and discretion in handling confidential information.
  • Ability to research and analyze data.
  • Ability to work independently with minimal supervision.
  • Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
  • Familiarity with medical staff bylaws, regulations, credentialing processes, and insurance credentialing.
  • Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources.

• About the company

  Life may not be normal but your health care needs haven't changed. Tri-Cities Community Health is here for your medical, dental, behavioral, & more.

Notice