Adfinitas Health has an opportunity for a Credentialing Coordinator to join our team in Hanover, Maryland.
The credentialing coordinator is an integral part of our credentialing team, who coordinates all functions related to the hospital credentialing and re-credentialing of hospital providers and maintains credentialing files.
DUTIES AND RESPONSIBILIITES: Receives and processes all initial hospital credentialing and re-credentialing applications.
Manages hospital credentialing workload of 35 to 40 files for several facilities at a time.
Collects all pertinent information from the provider, provider’s malpractice insurer, National Practitioner Data Bank (NPDB) and other sources as deemed appropriate.
Ensures that hospital credentialing and re-credentialing of providers occurs on a timely basis in accordance with industry and company standards and criteria.
Ensures compliance with all required CME and facility-specific education/training requirements.
Maintains accurate and complete records of each application’s status.
Maintains a status on all active credentialing and/or re-credentialing applications.
Prepares all documents to be reviewed by the Executive Director as needed.
Maintains all credentialing and re-credentialing timelines and schedules.
Maintains strict level of confidentiality on all matters pertaining to provider.
Maintains well-organized provider files that are easily reviewed by credentialing committee, outside review bodies, and others.
Maintains database and generates reports as required.
Processes approval, denial, or termination letters on behalf of facility or Adfinitas Health as needed.
Perform other administrative duties as assigned by management.
COMPETENCIES The following is a list of personal and professional competencies that must be present to succeed in this role.
Ability to manage priorities and workflow.
Strong organizational, problem solving and analytical skills.
Attention to detail, flexible and willingness to work in a fast-paced environment.
Superior follow through skills required.
Excellent written and oral communication skills.
Demonstrated ability to plan and organize projects.
Proficient with MS Office and other software applications.
Able to work collaboratively with multiple health professionals in a busy and complex environment using tact, diplomacy and discipline.
Ability to work independently and as a member of various teams and committees.
EDUCATION AND EXPERIENCE QUALIFICATIONS: High school diploma or equivalent.
(GED) Certified Professional Credentialing Specialist (CPCS) preferred Experience with Cactus preferred AA degree desirable.
Minimum of two (2) years hospital credentialing experience required.
ABOUT ADFINITAS HEALTH Adfinitas Health is a privately held multi-specialty healthcare management company.
Since 2007, hospitals, health systems and post-acute facilities have trusted that we’ll take superb care of their patients.
Our skilled providers become an integral part of your hospitalist or post-acute care teams, bringing our responsive service, focus on quality, and innovative programs to deliver value to you and your patients each and every day.
Our comprehensive approach to care, which enhances coordination between hospital and post-acute partners, translates to higher patient satisfaction and better patient outcomes through transitions in care.
THE MANY BENEFITS OF JOINING OUR TEAM We offer a supportive work environment and a comprehensive benefits package that includes: Opportunities for leadership and growth A caring, employee-focused culture Flexible schedules A competitive salary Generous paid time-off, health and life insurance Short and long-term disability insurance 401(k) and retirement planning Adfinitas Health is a government contractor and an Equal Opportunity/Affirmative Action Employer.
It is Adfinitas Health’s policy that all personnel-related decisions are made without regard to race, color, religion, sex, national origin, age, disability, marital or veteran status, or any other protected status.