Credentialing Coordinator

HG Solutions


Job Location:

Dale, VA - USA

Monthly Salary: Not Disclosed
Posted on: 7 days ago
Vacancies: 1 Vacancy

Job Summary

Job Location:
1700 E 19th St
The Dalles OR 97058
Description:
Day Shift/5 8s on site at Columbia Gorge.
Minimum of 3 years experience in medical staff in an acute care/hospital setting and familiar with Joint commission standards.
Must have CPCS/CPMSM.
Preferably onsite with experience in Oregon standards.

Job Summary:
Coordinates and processes all medical staff applications for appointment/reappointment for assigned areas of responsibility according to established procedures. Coordinates physician initial application appointment process for the organization in accordance with the Joint Commission on the Accreditation of Health care Organizations (JCAHO) standards and medical bylaws. Acts as liaison between organization administration and the Medical Staff. Coordinates small program(s) with limited budget/impact.

Job Requirements:
Five years relevant experience: Preferred
Healthcare industry experience: Preferred
Commercial healthcare experience: Preferred

Facility Specific License/Certifications:
Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS): Required

Initiates letters of inquiry regarding education training personal medical references staff affiliations board certifications out-of-state licensure and relevant information. Requests verification from the Medical Board of California for current state licensure. Queries the National Practitioner Databank. Creates confidential files on new practitioners and obtain copies of state licensure/s and certificates if applicable.
Conducts thorough background investigation research and primary source verification of all components of the application file. Performs primary source verification of all necessary elements through letters or faxes websites telephone verifications or equivalent sources.
Follows up on all incomplete or problematic information in a timely and consistent manner. Ensures that all reappointments are completed and reviewed by the appropriate credentialing entity before expiration date. Tracks license and certification expirations for all providers to ensure timely renewals.
Assists with conducting an annual review of Medical Staff Bylaws rules and regulations and all documents pertinent to the medical staff who are maintained in the department. Submits sections for revisions to appropriate committees. Keeps current with legal issues necessary for implementation of the bylaws etc. Oversees provider information in online credentialing databases and system.
Performs other job-related duties as assigned.
Job Location: 1700 E 19th St The Dalles OR 97058 Description: Day Shift/5 8s on site at Columbia Gorge. Minimum of 3 years experience in medical staff in an acute care/hospital setting and familiar with Joint commission standards. Must have CPCS/CPMSM. Preferably onsite with experience in Oregon ...