System Credential Verification Coordinator - PRN jobs in United States
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Methodist Health System · 4 weeks ago

System Credential Verification Coordinator - PRN

Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. The System Credential Verification Coordinator will be responsible for processing credentialing applications and maintaining compliance with regulatory standards, while ensuring effective communication with healthcare professionals.

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Responsibilities

Process Practitioner credentialing applications for Independent Practitioners and Allied Health Professionals in accordance with accreditation standards, regulatory requirements and policies and procedures
Examine, research, and data enter information from practitioner application
Gathers all information necessary to process information received from practitioners to support the credentialing process
Determines applicant’s initial eligibility for membership/participation
Obtains primary source verifications of education, training, experience, licensure, hospital affiliations, work history and peer references
Obtains delineation of privileges and associated case logs/documentation
Analyzes application and supporting documents for completeness and informs the practitioner of the application status, including the need for any additional information
Maintains compliance with documentation standards for verification of credentialing requirements including but not limited to licenses, certifications, registrations, permits, education degrees, association membership and related electronic system and software
Responsible for the maintenance and accuracy of electronic credentialing files
Verify and respond to telephone inquiries and written inquiries from practitioners and other departments, pertaining to practitioner and credentialing status in a professional and courteous manner
Maintain all additions, terminations and charges to practitioners’ membership and privileges
Recognizes, investigates, and validates discrepancies and adverse information obtained from the application, primary source verifications, or other sources
Act as a liaison between the medical staff and other departments of the hospital and provide assistance in the coordination of the duties of the medical staff related to credentialing and recredentialing
Maintain the credentialing database assuring accuracy and completeness
Organize and maintain credentials files in the medical staff office
Maintain a working knowledge of the Medical Staff Bylaws Department rules and regulations; and Hospital Policies pertaining to medical staff, practitioner, and the organization to ensure the medical staff’s adherence with stated parameters
Maintain compliance with regulatory and accrediting bodies; Joint Commission standards, State and Federal Law pertaining to the Medical Staff and apply them to the credentialing, privileging process as needed
Other Duties as Assigned – includes but is not limited to miscellaneous data entry after action by the Board of Directors, offering to help when certain applications become urgent

Qualification

Credentialing experienceCPCSCPMSM certificationMSO databases knowledgeMedical terminology knowledgeMicrosoft Office skillsOral communicationWritten communicationInterpersonal skillsOrganizational skillsConfidentialitySelf-motivation

Required

2 years' experience with a minimum of one year in credentialing physician and allied health professionals
Must have excellent oral and written communication skills
Must have excellent interpersonal skills and work effectively and efficiently with healthcare professionals both in and out of the hospital environment
Must be motivated as well as a self-starter who can work independently; however capable and willing to take direction as appropriate
Computer skills to Operate Microsoft Outlook, Word, and Excel
Demonstrates loyalty, reliability, tactfulness, and honesty
Maintains emotional stability and a calm disposition
Exhibit a high degree of confidentiality
Must possess superb organizational skills
Ability to work in a remote capacity while ensuring departmental productivity standards are met

Preferred

Associates Degree preferred, minimum of High school Diploma or Equivalent required
Certification by the National Association of Medical Staff Services (CPCS or CPMSM) preferred
Knowledge/familiarity with MSO databases - preferred
Knowledge of medical terminology preferred

Company

Methodist Health System

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Methodist Health System is a faith-based organization that aims to improve and save lives through compassionate and quality healthcare.

H1B Sponsorship

Methodist Health System has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (6)
2023 (8)
2022 (10)
2021 (2)
2020 (7)

Funding

Current Stage
Late Stage

Leadership Team

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Drew Shea
Chief Financial Officer - Methodist Medical Group
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Edward Sopiarz
Chief Financial Officer
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Company data provided by crunchbase