JOB SUMMARY:
The Credentialing Coordinator collaborates and assists with new hire onboarding, obtaining and maintaining documentation for physicians and/or pathology assistants as well as data entry into and assisting in the maintenance of credentialing databases and provider folders on a shared drive.
ESSENTIAL FUNCTIONS:
- Coordinate and assist with onboarding aspects of provider credentialing in preparation of applicant verification checklist and medical facility forms for all contracted facilities, as directed by the management.
- Assist in credentialing termination process for exiting providers.
- Extensive data entry within the physician credentialing databases and spreadsheets.
- Data entry of completed CME courses and expiring documentation for providers.
- Maintenance of provider rosters for outside vendors for professional liability insurance and payer enrollment for providers.
- Assist in the maintenance of provider records (electronic files) concerning providers.
- Assist in compiling QIP folders for providers for post-onboarding and in-house re-credentialing audits.
- Work with other departments within Pathologist Biomedical Laboratories, Southeastern Pathology Associates, and subsidiaries.
- Effectively communicate (oral and written) with all levels of personnel both within and outside of the company.
- Perform all job responsibilities in alignment with the industry's best security practices and regulatory guidelines to protect the confidentiality, integrity, and availability of protected health information and other sensitive company data.
- Abide by the Corporate Compliance Program and all corporate policies, including the Privacy and Security Policies.
Qualifications
EDUCATION & LICENSURE:
- High School Diploma or G.E.D. is required.
REQUIREMENTS:
- Experience in healthcare office setting preferred.
- Knowledge of medical terminology and previous database/document control system experience preferred.
- Professional and effective communication and customer service.
- Perform tasks with a high degree of accuracy and quality.
- Demonstrate ability to perform multiple on-going tasks in a limited time frame.
- Ability to exercise independent judgment under minimal supervision as well as ability to function as a contributing member of a team.
- Ability to comply with accreditation standards and regulations.
- Proficiency in use of MS Office products (Excel, Outlook, Word, Teams) and other computer applications.
