Fairview Health Services

  • Credentialing Coordinator

    Job Locations US-MN-St Paul
    Requisition Post Information* : Posted Date 3 weeks ago(10/29/2018 2:36 PM)
    Requisition ID
    2018-26223
    Profession
    Non-Clinical Support Staff
    Speciality
    Administrative/Clerical/Customer Service
    Location
    Fairview offices at Energy Park
    Shift
    day
    Hours per 2 weeks
    80
    Department
    Central Credentialing
  • Overview

    Fairview Health Services is looking for a Credentialing Coordinator based out of the Fairview Offices at Energy Park in St. Paul, Minnesota.  This is a full time, 80 hours every two weeks,  benefit eligible positon with standard business hours. 

    Responsibilities/Job Description

    Credentialing Coordinators work with medical and professional staff applying for appointment or reappointment to any single or combination of Fairview entities to ensure complete, timely and smooth completion of verification and privileging processes.  Ensures all processes and verifications meet the National Committee for Quality Assurance and Joint Commission’s (JC) standards.  Credentialing Coordinators assist in establishing policies, procedures and job duties, and in staff training

    • Imports applications and enters data into the credentialing database
    • Processes applications following policies, NCQA, and JC standards within the established amount of time and assuring quality goals are met
    • Obtains verifications, run queries
    • Reviews and assess all verifications to determine eligibility of applicants to meet criteria Flags any issues for further review
    • Reviews and determines compliance with privilege criteria
    • Determines completeness of applications through Quality Review processes
    • Communicates with medical staff offices
    • Assists in establishing policies, procedures and process improvements
    • Assists in staff training
    • Functions as a resource to customers and entities on credentialing and privileging issues
    • Assists with other duties as assigned

    Qualifications

    Required Qualifications

    • Two years business/technical college OR 2 years of experience in a credentialing related position
    • 1 year experience in a credentialing related position or similar experience

    Preferred Qualifications

    • Associate degree, medical terminology
    • 2 years of hospital credentialing experience
    • CPCS or CPMSM certification through the National Association of Medical Staff Services (NAMSS)

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