Credentialing Coordinator

at  Encompass Health

QUALIFICATIONS

License or Certification:

• CPCS or CPMSM preferred.

Minimum Qualifications:

• High School diploma or equivalent
• One to three years of experience in medical staff credentialing preferred.
• Microsoft Office software, to include Outlook, Word, Excel

A LITTLE ABOUT US

We’re confident you’ll see the difference the moment you join our team. Working at Encompass Health means working with a growing national inpatient rehabilitation leader. We’re proud of our career growth opportunities and how our team members work together for the greater good of our patients. We’ve been named one of the “World’s Most Admired Companies” and a Fortune 100 Best Companies to Work For® Award, among others, which is pretty amazing.

Our benefits start day one

• Affordable medical, dental and vision plans for full-time and part-time employees and their families.
• Generous paid time off that accrues over time.
• Tuition reimbursement and continuing education opportunities.
• Company-matching 401(k) and employee stock purchase plans.
• Flexible spending and health savings accounts.
• A community of people who love what they do. Yes, we see that as a benefit.

The Credentialing Coordinator is primarily responsible for processing medical staff initial and reappointment applications. This position will manage specific credentialing activities assigned to them, prepare and process all credentialing activities and update and maintain current and accurate practitioner files according to the appropriate accrediting and regulatory agencies. This position will support hospitals with verification as they arise. The position will report to the Credentials Verification Office Manager.

Responsibilities & Tasks

• Oversees assigned practitioner verifications for applications using pre-established workflows.
• Ensures applications are verified per medical staff bylaws, TJC standards, and department policies.
• Liaises between CVO/hospital; completes verification documents; loads into credentialing software.
• Tracks responses and follows-up on items not received within established time frames.
• Communicates with hospitals about status of verification process, missing items, and red flags.
• After quality review, notifies hospitals of packets ready for committee review.
• Monitors practitioner appointment and credentials expiration dates for assigned hospitals.
• Follows up with hospitals on approval dates and enters into database.
• Inactivates practitioners in database per hospital request and procedure.
• Conducts, participates in, and maintains credentialing and privileging.
• Maintains a working knowledge of medical staff bylaws, rules, and regulations.
• Maintains a working knowledge of Joint Commission standards.
• Maintains confidentiality of all credentialing information.
• Fully Remote position- Candidate must live within 50 miles of Birmingham AL