Credentialing Coordinator

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

📋 Description

• Assist with the functions of the Professional Staff Office.

• Conduct primary-source verifications of expirables.

• Manage outpatient ordering providers.

• Handle requests for practitioner status and terminations for credentialed and managed care practitioners.

• Support the agendas of the Credentials Committee.

• Organize and maintain credentialing files, including scanning practitioner documents.

• Perform project management and administrative duties related to Bylaws, Rules and Regulations, and Departmental Policies and Procedures.

• Coordinate the credentialing and re-credentialing processes for physicians, advanced practice providers, and other clinical practitioners.

• Gather, verify, and maintain provider credentials.

• Process initial appointments, reappointments, privileging, and credentialing applications.

• Prepare credentialing files and applications for medical staff leadership, credentialing committees, and governing bodies.

• Track expiration dates and ensure timely renewals.

• Communicate with providers and external organizations to gather necessary documentation.

• Identify incomplete or incorrect information and follow up for resolution.

• Assist with provider privileging and monitor credentialing applications.

• Provide status updates to providers and leadership.

• Support audits and surveys by preparing credentialing documentation and reports.

• Collaborate with Medical Staff Services, Human Resources, Provider Enrollment, Compliance, Legal, and clinical departments.

⛳️ Requirements

• Bachelor's Degree OR High School Diploma/GED with 4 years of general administrative experience.

• Preferred experience in medical staff services, credentialing office, physician's office practice, hospital admissions, medical records, or other healthcare-related fields.

• A resume is required.

• Candidates must provide proof of legal authority to work in the United States on the first day of employment.

• Ability to coordinate credentialing and re-credentialing processes effectively.

• Ability to collect, verify, and maintain provider credentials, including licenses, certifications, education, training, work history, and professional references.

• Ability to conduct primary-source verification of licenses, certifications, DEA registrations, malpractice coverage, education, training, and other required credentials.

• Ability to maintain accurate and confidential provider credentialing records in electronic databases and credentialing systems.

• Ability to communicate effectively with providers, medical staff offices, licensing boards, hospitals, insurance companies, and other external organizations.

• Ability to ensure compliance with regulatory, accreditation, and organizational standards.

• Ability to maintain confidentiality of sensitive provider and organizational information.

🏝️ Benefits

• Health: Medical, Dental, and Vision plans available for qualifying staff and their families.

• Holiday, Vacation, and Sick Leave.

• Education discount for staff and dependents (undergraduate only).

• Retirement: Up to 10% matched contribution from UAMS.

• Basic Life Insurance coverage up to $50,000.

• Opportunities for Career Training and Education.

• Merchant Discounts.

• Concierge prescription delivery available on the main campus when utilizing UAMS pharmacy services.