Providence, Rhode Island
Durham, North Carolina
Maplewood, Minnesota
Minneapolis, Minnesota
Modesto, California
Mount Kisco, New York
Posted: 12-Apr-25
Location: Irving, Texas
Internal Number: 257777
Summary:
Responsible for leading, coordinating, monitoring, and maintaining the credentialing and re-credentialing intake process within the CVO. Ensures interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing. Responsible for the accuracy and integrity of data within the credentialing database system and related applications.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Leads, coordinates, and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility.
- Identifies issues that require additional investigation and evaluation, validates discrepancies, and ensures appropriate follow-up.
- Processes requests for initial and reappointment applications.
- Responds to inquiries from other healthcare organizations, interfaces with internal/ external customers on day-to-day credentialing/privileging issues as they arise.
- Utilizes and maintains the credentialing database or additional applications, optimizing efficiency, and performs queries, reports, and document generation.
- Meets weekly departmental metrics which includes: turnaround time of responses to requests, timeliness of processing application requests.
- Maintains strict confidentiality of all data and information.
- Performs miscellaneous job-related duties as assigned.
Job Requirements:
Education/Skills
High School Diploma or GED required
Experience
Minimum of at least one (1) year experience related to hospital or managed care credentialing.
Licenses, Registrations, or Certifications
- Certified Provider Credentialing Specialist (CPCS) preferred
Work Schedule:
TBD
Work Type:
Full Time
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