Credentialing Coordinator

• 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