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Lvhn1 day ago

Credentialing Coordinator

On-site · Allentown, Pennsylvania, United States

Type
Full Time
Level
Mid Level
Education
Associates Degree
Company size
Large

Job Summary

Performs all functions of the credentialing process, including initial credentialing and reappointment of providers. Provides support to Medical Staff Committees (meeting preparation, minute taking, expediting actions through approvals). Analyzes applications for appointment and reappointment; ensures compliance with DOH, HFAP, The Joint Commission, NCQA standards and guidelines; assists departmental Chairs/Physician in Chiefs, Division Chiefs, and Medical Directors in fulfilling credentialing roles. Determines follow-up needs post-meetings (Credentials, MEC, Board of Trustees/Directors); identifies issues and recommends corrective action; prepares for regulatory surveys and third-party audits. Assists in development and enhancement of the Medical Staff database and policies/procedures related to credentialing activities. Minimum qualifications include High School Diploma/GED with 3 years in a medical staff office setting and/or insurance credentialing; preferred qualifications include an Associate’s Degree in HR or related field or CMSC certification. This role is based in Allentown, PA with a day shift, onsite schedule. LVHN is an equal opportunity employer. Submit your resume to join the talent network and stay informed about opportunities.

Required Qualifications

  • High School Diploma/GED
  • 3 years of experience in a medical staff office setting and/or insurance credentialing
  • Knowledge of The Joint Commission, NCQA, Pennsylvania Dept. of Health, and Federal standards guiding the principles of credentialing and privileging
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Lvhn

Credentialing Coordinator

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