Credentialing Coordinator
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Job Description
Credentialing Coordinator verifying medical staff and allied health provider credentials for Saint Francis Health System. Coordinating documentation, background checks, committee support, and regulatory compliance.
Responsibilities:
- Obtain and verify all required credentialing and recredentialing documentation
- Work with staff and hospital system leadership to ensure applicants have proper credentials and training to provide patient care
- Perform duties according to Medical Staff policies, bylaws, rules, regulations, and applicable legal, state, federal, licensing board, Joint Commission, and Risk Management guidelines
- Assist the Credentials Chairman and Supervisor of Medical Staff Services with privilege documents, credentialing policies, rules, and regulations
- Coordinate appointment, reappointment, and credentialing processes for medical staff and allied health professionals
- Ensure accurate documentation and verification of education, experience, and licensure
- Ensure compliance with Joint Commission standards, Medical Staff bylaws and credentialing policies, and National Practitioner Data Bank guidelines
- Initiate background checks and verify education, experience, and licensure using online systems, correspondence, telephone inquiries, and reference questionnaires and reports
- Design and implement systems for compiling, maintaining, and retrieving complete confidential medical staff records
- Monitor environmental changes for new requirements or collaboration opportunities and communicate them appropriately
- Support Medical Executive Committee and Credentials Committee meetings, including meeting minutes, follow-up actions, and monthly credentialing updates
- Serve as a resource for internal departments on credentialing issues, clinician privileges, and health plan participation changes
- Maintain accurate provider information databases
- Coordinate activities of others without supervisory responsibility
- Work with patients, customers, healthcare professionals, staff, and Director-level personnel
Requirements:
- High School Diploma or GED required; college degree in a related field preferred
- Minimum of 1 year of related experience preferred
- Ability to organize, be self-motivated, and professionally manage a demanding workload with frequent interruptions
- Assertive and political intuitiveness skills
- Effective professional interpersonal, written, and verbal communication skills
- Detail-oriented with independent thinking and judgment skills
- Ability to operate general office machines and utilize PC applications
- Licensure, registration, and certification: None
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