Credentialing Coordinator

The Bedford-Stuyvesant Family Health Center (BSFHC) is a Federally Qualified Health Center (FQHC) that serves all of the primary health care needs of families in the heart of North and Central Brooklyn for over 40 years. Our mission is to provide the most professional courteous and highest quality health care with dignity to those we serve especially the undeserved population without regard for ability to pay.

We are looking for a Credentialing Coordinator to assist and facilitate all aspects ofcredentialing functions.

THIS IS NOT A REMOTE POSITION.

Essential Duties and Responsibilities:

Assist with a variety of credentialing processes and procedures including but not limited to:

• Responsible for administrative work in directing and coordinating the medical staff credentialing function.
• Process the coordination of the appointment and reappointment process for all practitioners including but not limited to: verifying all relevant information via the primary source; reviewing and analyzing potential issues and concerns; and preparing files for routing to the appropriate medical staff leaders committees and the governing body. Ensure expired certifications and documents are up to date.
• Facilitate and support credentialing activities with external credentialing consultant vendor and privileging process to ensure compliance with medical staff bylaws and accrediting agencies. This includes the process for verification of licensure education/training board certification current competency disciplinary actions sanctions and malpractice insurance clearance.
• Maintains all credentialing-related databases and track credentialing progress of providers. Follows-up with payers/Consultants regarding provider enrollment status and maintains documentation and reporting regarding the enrollment process.
• Follow up and through with all credentialing activities until successful completion
• Collaborate with Revenue Cycle (Billing) to identify and resolve issues/concerns related to payors and network status.
• Serves as primary contact responsible for processing primary source credentialing collecting required documents and training verifications monitoring status changes and advancing crucial workflows with the primary objective of successful and timely recredentialing completion to the highest standard.
• Manage Credentialing Consultant by maintaining necessary logs lists reports records and current documentation required for physician/provider credentialing and re-credentialing to ensure requirements are met in a timely manner.

Education/Experience:

• Associates degree or related experience.
• Credentialing experience required.

Knowledge Skills & Abilities:

• Great attention to detail and exceptional follow-up skills. Must also be a team player hard-working and have excellent communication skills.
• Experience in a healthcare setting including provider enrollment and provider network management experience desirable.
• Ability to communicate professionally and effectively in person on the phone electronically or through other means to individuals and groups.
• Ability to maintain complete confidentiality in handling sensitive enrollment issues.
• Proficiency in Microsoft Office particularly Word Excel Outlook
• Maintain high levels of organization while being extremely focused on details
• Capable of meeting time-sensitive deadlines for multiple tasks
• Ability and desire to understand and adhere to complex regulations
• A can-do attitude. You will roll up your sleeves and do whatever it takes to get the job done.
• Experience with Credentialing Accreditation by Joint Commission or National Committee for Quality Assurance preferred.

Benefits Overview: We offer attractive compensation with comprehensive benefits including: Medical 401k Retirement Plan with discretionary Match Free Life Insurance and Long-Term Disability Transportation Plan Generous Paid Vacations and Holidays.

Salary:$50k-60k

BSFHC IS AN EQUAL OPPORTUNITY EMPLOYER