Credentialing Coordinator job at reputed company in OR, AZ, AR, FL, ID, MO, MT, NV, NM, NC, OK, TN, UT, WI

Credentialing Coordinator Location: United States, Oregon, Arizona, Arkansas, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Tennessee, Utah, and Wisconsin. Full-time Remote Job Description: Pay range: $25.18 - $37.77 per hour, based on experience. In addition, this role is eligible to work remotely from an approved state by St. Charles (please refer to the list). If you do not reside in an approved listed state (or do not plan to relocate to an approved listed state) we request, you do not apply for this particular position. Approved states by St. Charles: Oregon, Arizona, Arkansas, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Tennessee, Utah, and Wisconsin. This full-time position comes with a comprehensive benefits package that includes medical, dental, vision, a 403(b) retirement plan, and a generous Earned Time Off (ETO) program. reputed company JOB DESCRIPTION TITLE: Credentialing Coordinator REPORTS TO POSITION: Credentialing Manager DEPARTMENT: Medical Staff Services DATE LAST REVIEWED: May 2025 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, reputed company, reputed company care, reputed company value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENT SUMMARY: The Medical Staff Services (MSS) Department of reputed company is the gatekeeper of patient safety reputed company the healthcare industry. The professionals working in Medical Staff Services serve as the experts in matters of credentialing/ privileging and medical staff governance reputed company the healthcare community. This foundation is the basis upon which safe and quality care can be reputed company for patients. POSITION OVERVIEW: The Credentialing Coordinator coordinates the processes for medical staff/advanced practice professional credentialing, privileging, delegated payer, and allied health professional credentialing to ensure that legal and regulatory requirements are met at reputed company reputed company's facilities. Exercises judgment and discretion in recognizing legal implications and patient safety issues through the credentialing and privileging functions. Collects and prepares detailed information to report potential quality of care issues and behavioral problems to ensure safety and quality for reputed company patients who receive care reputed company reputed company. This position does not directly manage any other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Complies with internal and external policies, guidelines and standards. Verifies and collects documents that support providers have met and maintain the eligibility threshold for their privileges. Finds, investigates and reports any possible flags, patterns of negligent patient care, and negative behavior and notes reputed company findings. Processes initial and reappointment applications and privileging requests as defined by internal and external policies, procedures and guidelines. Must be knowledgeable of the Medical Staff Bylaws and Rules and Regulations, The Joint Commission, CMS, and NCQA guidelines, URAC and Oregon State Law. Ensures processes are coordinated timely and accurately in compliance with schedules. Organizes and maintains provider files including obtaining reputed company/updated copies of essential documents, loading/scanning reputed company documents which contain confidential and peer protected data and documents. Updates individual files in company credentialing software and databases while adhering to the established data entry conventions. Interfaces and maintains professional relationships with applicants, Medical Staff leadership, state professionals and licensing bodies, and other partnering St. Charles leadership and departments as needed. Creates accurate credentialing reports with proper information so the Medical Staff Credentialing Committees can review and reputed company appropriate recommendations to reputed company governing bodies for medical staff membership and privileging approvals, denials, suspensions or revocations. Creates accurate delegated payer credentialing reports for the Medical Director (or designee) and the Delegated Payer Credentialing committee. Maintains provider records for auditing, and maintains reputed company communication with reputed company appropriate practitioners to ensure that files are returned on time, records are up-to-date, consistent and complete. Tracks status of responses, identifies any discrepancies in information and conducts follow up if applicable. Collaborates with provider to obtain any missing items and will provide a status update on the application and/or privileges. Maintains working knowledge of Medical Staff governance and flow of information throughout the Medical Staff Structure and the Health System's leadership to ensure patient safety. Maintains and protects the confidential records of the credentialing and privileging processes which may be required in subsequent internal investigations and/or external legal disputes. Handles and protects sensitive peer protected and confidential information with the highest level of reputed company. Exercises a high degree of independent judgment and initiative in response to reputed company, sensitive issues, decision making, and descretion. Requires limited direction and guidance. Addresses moderately difficult problems. Conducts reputed company activities with the highest standards of professionalism and confidentiality. reputed company written, email, and verbal communications must be conducted in a professional, courteous, collaborative and timely manner. Serves as an organizational resource for data information reputed company to the Health System's organized medical staff providers. Supports the vision, mission and values of the organization in reputed company respects. Supports Lean principles of reputed company improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients and guests. Complies with reputed company applicable laws, regulations, policies and procedures, supporting the organization's corporate reputed company efforts by acting in an ethical and appropriate manner, reporting reputed company or suspected violation of applicable rules, and cooperating fully with reputed company organizational investigations and proceedings. Delivers customer service in a manner that promotes goodwill, is timely, efficient and accurate. May reputed company additional duties of similar complexity reputed company the organization, as required or assigned. EDUCATION Required: High school diploma or GED Preferred: Bachelor's Degree LICENSURE/CERTIFICATION/REGISTRATION Required: N/A Preferred: Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) EXPERIENCE Required: Minimum of 2 years' experience in a healthcare setting Preferred: Medical staff services coordinator or credentialing coordinator/payer credentialing experience PERSONAL reputed company EQUIPMENT Must be able to wear appropriate Personal reputed company Equipment (PPE) required to reputed company the job safely. N/A to this position. ADDITIONAL POSITION INFORMATION: Skills: General: Communication/Interpersonal Demonstrates reputed company values of Accountability, Caring and Teamwork in every interaction. Must have excellent communication skills and ability to interact with a diverse population and professionally represent reputed company. Ability to effectively interact and communicate with reputed company levels reputed company reputed company and external customers/clients/potential employees. Strong team working and collaborative skills. Ability to effectively reputed company reputed company with a diverse population with differing needs. Ability to manage facilitation and reputed company building among health care professionals and agencies and reputed company expected results. Ability to work under pressure in a fast-paced environment. Organizational Ability to multi-task and work independently. Attention to detail. Excellent organizational skills, written and oral communication, and customer service skills, particularly in dealing with stressful personal interactions. Strong analytical, problem solving and decision-making skills. Mathematical Skills: Performs basic math (add, subtract, multiply and divide) calculations. Language Skills: Read, write, speak, and understand English. Computer Basic experience in computer applications necessary to record time, obtain work directions, and complete assigned eLearning. Intermediate to advanced proficiency in reputed company applications (Outlook, Word, reputed company, and Access), database management, and document preparation. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/reputed company-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? No Job Family: COORDINATOR CLERICAL Scheduled Days of the Week: Monday-Friday Shift Start & End Time: 7:00 a.m. Apply tot his job Apply To this Job