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Coordinator - Credentialing and Enrollment
Charlotte, NC
Job Description
Overview
Job Summary
Manages processes and procedures which lead to the appointment and reappointment of the applicants and current appointees of the medical and dental staffs. Ensures the timely and accurate completion and submission of applications for physicians, dentists and mid-level providers, in accordance with the Bylaws.
Essential Functions
- Processes and submits complete, timely and accurate applications to chief(s) of the appropriate department(s) for review and recommendation to the Facility Credentials Committees and communicates the status of credentialing applications to all constituents directly.
- Interprets and assists in implementing the standards of The Joint Commission.
- Prepares the maintenance documentation, as defined on the Delineation of Privileges Forms, for presentation to the Facility Credentials Committees at the time of reappointment.
- Processes requests and prepares correspondence to appointees regarding change of status, expansion of privileges (either an increase or a decrease), and resignations. Maintains and updates database accordingly.
- Serves as the first contact when communicating with hospital personnel regarding appointees clinical privileges and if they are allowed to go forward with cases, as scheduled.
- Prepares the appointees credentials files for audits.
- Maintains current licensure, certifications, malpractice insurance and any other applicable regulatory items at time of appointment and continuous maintenance going forward to ensure timeliness, accuracy and integrity of the credentialing and clinical privileging database system and compliance with the regulatory agencies.
Performs most work under normal office conditions. Work may require sitting for long periods of time, standing, walking, using repetitive wrist/arm motion frequently and lifting.
Education, Experience and Certifications
Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
High School or Equivalent
Required Experience
Open
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