System Credential Verification Coordinator

• Associates Degree preferred, minimum of High school Diploma or Equivalent required

• Certification by the National Association of Medical Staff Services (CPCS or CPMSM) preferred

• Work Experience: 2 years’ experience with a minimum of one year in credentialing physician and allied health professionals
• Knowledge/familiarity with MSO databases - preferred
• Must have excellent oral and written communication skills
• Must have excellent interpersonal skills and work effectively and efficiently with healthcare professionals both in and out of the hospital environment
• Must be motivated as well as a self-starter who can work independently; however capable and willing to take direction as appropriate
• Knowledge of medical terminology preferred
• Computer skills to Operate Microsoft Outlook, Word, and Excel
• Demonstrates loyalty, reliability, tactfulness, and honesty
• Maintains emotional stability and a calm disposition
• Exhibit a high degree of confidentiality
• Must possess superb organizational skills
• Ability to work in a remote capacity while ensuring departmental productivity standards are met

• Process Practitioner credentialing applications for Independent Practitioners and Allied Health Professionals in accordance with accreditation standards, regulatory requirements and policies and procedures;
• Examine, research, and data enter information from practitioner application.
• Gathers all information necessary to process information received from practitioners to support the credentialing process.
• Determines applicant’s initial eligibility for membership/participation
• Obtains primary source verifications of education, training, experience, licensure, hospital affiliations, work history and peer references.
• Obtains delineation of privileges and associated case logs/documentation.
• Analyzes application and supporting documents for completeness and informs the practitioner of the application status, including the need for any additional information.
• Maintains compliance with documentation standards for verification of credentialing requirements including but not limited to licenses, certifications, registrations, permits, education degrees, association membership and related electronic system and software
• Responsible for the maintenance and accuracy of electronic credentialing files;
• Verify and respond to telephone inquiries and written inquiries from practitioners and other departments, pertaining to practitioner and credentialing status in a professional and courteous manner.
• Maintain all additions, terminations and charges to practitioners’ membership and privileges.
• Recognizes, investigates, and validates discrepancies and adverse information obtained from the application, primary source verifications, or other sources.
• Act as a liaison between the medical staff and other departments of the hospital and provide assistance in the coordination of the duties of the medical staff related to credentialing and recredentialing.
• Maintain the credentialing database assuring accuracy and completeness
• Organize and maintain credentials files in the medical staff office

• Maintain a working knowledge of the Medical Staff Bylaws Department rules and regulations; and Hospital Policies pertaining to medical staff, practitioner, and the organization to ensure the medical staff’s adherence with stated parameters
• Maintain compliance with regulatory and accrediting bodies; Joint Commission standards, State and Federal Law pertaining to the Medical Staff and apply them to the credentialing, privileging process as needed
• Other Duties as Assigned – includes but is not limited to miscellaneous data entry after action by the Board of Directors, offering to help when certain applications become urgent.

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• PressGaney HX Health System of the Year, 2024

Methodist Health System