Credentialing Coordinator

• Manage an assigned book of business throughout the initial and reappointment process
• Prepare provider credentialing files for required ACOs
• Create credentialing files and enter pertinent information from providers' initial and reappointment applications
• Upload supporting documents to the company database document vault
• Coordinate file reviews for accuracy and prepare discrepancies for quality review and approval
• Research and obtain verification of clinicians' medical experience, professional references, state licensure, DEA registration, DPS credentials, and other required documentation
• Coordinate with facilities, centralized verification services, medical staff, and clinicians to complete the privileging process
• Facilitate state-required collaborative agreements and APP supervision processes
• Provide routine status updates for assigned books of business in the system dashboard
• Maintain the company database with current documentation, licensure, and updated demographics
• Maintain accurate site rosters of currently privileged providers
• Ensure providers maintain current licensure and certifications to remain active at hospitals
• Collaborate with multiple teams and departments across organizations
• Build relationships with clients, providers, and Medical Staff Offices
• Support and lead hospital credentialing efforts for new clients
• Adhere to company policies and procedures

Credentialing Coordinator jobs in Texas

Provider Credentialing Coordinator