Credentialing Coordinator

This is a fully remote position, open to applicants in Michigan.

📋 Description

• Ensure the prompt completion of both initial and recredentialing applications.

• Assist applicants in submitting the necessary credentialing documentation.

• Carry out credentialing tasks under the direction of CVO management for Trinity Health RHMs.

• Adhere to established credentialing policies and procedures.

• Maintain an accurate database of physicians.

• Gather data and engage in changes to the credentialing process.

• Identify and arrange reappointment candidates.

• Audit initial and reappointment credentialing files and provide constructive feedback.

• Assist in the training and orientation of new team members.

• Support daily data entry and the integration of new RHMs into the CVO.

• Communicate with applicants and RHMs to ensure credentialing requirements are fulfilled within specified deadlines.

• Contact primary sources to obtain verifications for background investigations.

• Prepare documentation for verifications and summarize references.

• Assist with reappointment applications, including gathering information, verification, and follow-up.

• Meet processing time thresholds with minimal errors.

• Draft RHM privilege forms within the PCCB credentialing database module.

• Maintain confidentiality regarding patient, physician, employee, visitor, and external-entity information.

• Track errors and complaints for the purpose of process enhancement.

• Perform other duties as assigned by the Director.

• Stay informed of relevant laws, regulations, compliance programs, and organizational policies.

⛳️ Requirements

• Two years of post-secondary education, training, or experience.

• One year of professional experience in a healthcare setting.

• General understanding of the healthcare industry, including hospital environments, physician practices, and managed care organizations.

• Familiarity with NCQA and TJC standards, NPDB guidelines, hospital policies and procedures, as well as general licensing regulations.

• Knowledge and experience in database organization and management.

• Proficiency in report-generating languages.

• Skilled in using PCs and Windows-based word-processing software.

• Strong written and verbal communication abilities, along with active listening skills and an appreciation for diverse viewpoints.

• Excellent statistical, analytical, and problem-solving capabilities.

• Strong organizational skills, meticulous attention to detail, and thoroughness.

• Ability to work independently as well as collaboratively within a team.

• Capability to adhere to Trinity Health policies and procedures.

• Ability to prioritize tasks and adapt to frequent changes.

• Skill in managing multiple tasks and projects during high-pressure situations.

• Current CPCS and/or CPMSM eligibility is preferred but not mandatory.

🏝️ Benefits

• Opportunities for professional development programs and involvement in professional organizations.

• Equal Opportunity Employer.