Credentialing Coordinator II
Houston, TX 77030 US
Job Description
- Analyze and process initial and reappointment applications for a healthcare system credentialed of healthcare staff in compliance with medical regulatory agency requirements
- Maintains knowledge of DNV standards, CMS medical staff Federal and state requirements relative to credentialing activities
- Tracks license and certification expirations to ensure providers fulfill their renewal requirements
- Maintains and updates demographic information, changes in privileges, resignations, and ongoing credentials verifications upon expiration
- Process requests for temporary privileges
- Maintains accurate Credentialed Staff data in multiple systems
- Research issues related to any healthcare practitioner credentialing material
- Assists in collecting statistical/analytical data, i.e. OPPE/FPPE data
- Manages the sign-off process and securing signatures
- Assist with external audits
- High School Diploma or GED
- Certificate Provider Credit Specialist or CPMSM Preferred
- Two (2) Years of work experience as a healthcare practitioner credentialing
- Verbal/Written Additional details
- Heavy Public Contact
- Strong written and verbal communication
- MS Office Suite including MS Excel, MS Word
- Analytical Abilities
- Medical terminology research, statistical and transcription knowledge
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