Credentialing Coordinator

CLOSING DATE: Friday April 25 2025 @ 4:00 PM (MST)
Hourly Range: $26.13/hour $32.14/hour

**APPLICANT MUST HAVE A VALID UNRESTRICTED INSURABLE DRIVERS LICENSE**
**RESUMES AND REFERENCES ARE REQUIRED**

ESSENTIAL DUTIES FUNCTIONS AND RESPONSIBILITIES

• Ensures the proper of the credentialing and privileging process for the Medical Staff including requests for appointment reappointment expansion or reduction of privileges temporary membership temporary privileges and verification of current licensure.
• Ensures compliance with Centers for Medicare and Medicaid Services (CMS)
  requirements FDIHB credentialing policies and FDIHB Bylaws of the Medical Staff.
• Assists with maintaining the Medical Services Division position control master for all positions. Ensures that each position within the Division is accounted for and designated as Filled Contract in lieu of Or Vacant.
• Assists with coordinating and preparing Personal Services Contracts and non PCS contracts for medical services. Ensures purchase orders are properly coded with accounting data.
• Ensures that an accurate current and confidential computerized database for timely notification for reappointments and licensure expiration is maintained.
• Oversees and completes background research on all applications such as:
• Verification of education training and experience.
• Obtaining reference from other hospitals and health professionals.
• Verification of state license(s).
• Verification of malpractice concerns via National Practitioner Data Bank (NPDB) and other sources.
• Verification of Continuing Medical Education (CME).
• Verification of current competence and professional conduct through peer recommendations.
• Effectively utilize hospital credentialing software to perform essential job functions adhering to established formats and standards.
• Performs data entry of information into the credentialing software while assuring the system is accurate and uptodate in real time.
• Provides notification to medical staff of any expiring license board certification and Drug Enforcement Agency (DEA) number.
• Completes further investigation as requested by the Medical Executive Committee and/or Governing Board.
• Prepares and distributes Medical Executive Committee (MEC) list for appointment reappointment for permanent temporary and consulting staff.
• Provides general medical staffing reports as requested by the Chief Medical Officer and Chief of Staff.
• Provide regular communication with the Provider Enrollment Team and Medical Staff Recruiter and other team members to ensure a timely provider onboarding.
• Coordinates Medical Staff Meetings.
• Organizes the flow of the credentialing process in the Medical Division.
• Receives telephone calls and visitors; screens inquiries takes care of routine matters referring callers/visitors to appropriate personnel.
• Establishes and maintains an efficient filing system for the credentialing documentation.
• Prepares a variety of materials such as correspondence reports technical documents requisitions forms meeting minutes and memos using automated systems.
• Receives reviews and distributes incoming correspondence related to the medical staff credentialing.
• Maintains control of correspondences and action documents to enable follow up status and/or progress to ensure timely action in accordance with established requirements and deadlines.
• Performs other duties as assigned

MANDATORY MINIMUM QUALIFICATIONS

Experience

One 1 year of direct experience in credentialing and medical staff privileging.

Education

Associate Degree or equivalent direct experience.

**Please email degree transcripts license & certifications to **

NAVAJO/INDIAN PREFERENCE
FDIHB and its facilities are located within the Navajo Nation and in accordance with Navajo Nation law has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy applicants who meet the minimum qualifications for this position and who are enrolled members of the Navajo Nation will be given primary preference in hiring and employment for this position and members of other federallyrecognized Indian tribes will be given secondary preference. Other candidates will be considered only after all candidates entitled to primary or secondary preference have been fully considered.

Required Experience:

IC