Credentialing and Privileging Coordinator

Credentialing and Privileging Coordinator

11 Dec 2024
Pennsylvania, Philadelphia, 19113 Philadelphia USA

Credentialing and Privileging Coordinator

Reference #: 1012564

SHIFT:Day (United States of America)Seeking Breakthrough MakersThe ideal candidate would be someone who has a strong background with ECHO and/or HealthStream for Credentialing & Privileging, including experience in a hospital setting medical office and a strong background with participating in Joint Commission audits and licensing surveys.Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career.CHOP's Commitment to Diversity, Equity, and InclusionCHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining diverse talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children.We strongly encourage all candidates of diverse backgrounds and lived experiences to apply.A Brief Overview

This role performs detailed and diversified administrative and clerical functions relating to maintenance of all documentation and credentialing that includes privileging using ECHO and/or HealthStream for Credentialing & Privileging, as well as participating in Joint Commission audits and licensing surveys.What you will do

Maintain credentialing, licensure or accreditation compliance

Communicate with leadership regularly to review status and criteria to ensure compliance with CHOP and regulatory standards.

Advise leadership of anticipated problems involving credentialing, licensure or accreditation

Maintain and perform computerized and/or manual recordkeeping functions

Monitor data collection to ensure licensure and credentials are current

Coordinate periodic requests for information from stakeholder departments such as Public Relations, Development and Marketing

Ensures that primary source verifications are performed in a timely manner

Provide administrative oversight for internal systems

Develop and maintain automated response programs for accurate notification of time-sensitive documents pending expiration

Continually review internal documents and updates as required for regulatory compliance

Ensure that primary source verifications are performed in a timely manner

Assures superior credentialing customer service

Use independent judgment when problem solving; Seek assistance from manager, team lead, or team member immediately when necessary

Recognize customer concerns, prioritize them appropriately and follow-up within 24 hrs on all queries

Monitor compliance of assigned departments for all outstanding documents, files and/or signatures required to complete appointments and/or reappointments

Provide administrative support to leadership

Provide support for periodic projects as required as part of ongoing effort to regulatory requirements

Coordinate related annual activities including audit data submission, site visits and surveysEducation Qualifications

High School Diploma / GED Required

Bachelor's Degree PreferredExperience Qualifications

At least three (3) years education, medical staff or physician related credentialing experience Required

At least five (5) years education, medical staff or physician related credentialing experience Preferred

At one (1) year experience in ECHO Credentialing and/or HealthStream Preferred.

At least one (1) year experience in a medical staff office in a hospital setting Preferred.

At least one (1) experience participating in Joint Commission audits/ licensing surveys Preferred. Skills and Abilities

Advanced proficiency with office software (Microsoft Office) including word processing and spreadsheet software (Word, Excel. Adobe)

Intermediate proficiency with processing renewals, verifications and data searches

Intermediate knowledge of credentialing management database systems

Excellent verbal and written communications skills

Strong organizational skills

Strong time management skills

Strong conflict resolution skills

Ability to maintain confidentiality and professionalism

Ability to collaborate with stakeholders at all levelsTo carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must be fully vaccinated against COVID-19 and receive an annual influenza vaccine. Learn more.Employees may request exemptions for valid religious and medical reasons. Start dates may be delayed until candidates are immunized or exemption requests are reviewed.EEO / VEVRAA Federal Contractor | Tobacco StatementChildren's Hospital of Philadelphia is an equal opportunity employer. We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, age, religion, national or ethnic origin, disability or protected veteran status.

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