Job Information
Morehouse School Of Medicine Faculty Credentialing Coordinator in Atlanta, Georgia
Faculty Credentialing Coordinator Bookmark this Posting Print Preview | Apply for this Job
Posting Details
Position Information
About MSM
Morehouse School of Medicine ( MSM ) is a place of distinction, serving as the nation’s leading academic medical center for vulnerable populations. It’s also a place for passionate individuals looking to join a dedicated community working today to help prepare tomorrow’s leaders.
We exist to:
• Improve the health and well-being of individuals and communities;
• Increase the diversity of the health professional and scientific workforce;
• Address primary health care through programs in education, research and service;
With emphasis on people of color and the under-served urban and rural populations in Georgia, the nation and the world.
At Morehouse School of Medicine, we’re leading the creation and advancement of health equity. You will find a fulfilling career at MSM !
Posting Number NONAC3310
Job Title Faculty Credentialing Coordinator
Position Title Faculty Credentialing Coordinator
Position Type Non-Faculty
Number of vacancies 1
Salary
Department OB/GYN
Position Summary
The Faculty Credentialing Coordinator is responsible for all aspects of onboarding, credentialing, and re-credentialing of healthcare professionals. This position ensures all Faculty are appropriately credentialed, which includes the responsibility of maintaining current information on file and within the credentialing database. This position primarily works independently but frequently coordinates with team members of the Clinical Enterprise’s Credentialing Department. In addition, the position onboards new Faculty into the Department of Obstetrics/Gynecology and offboards physicians out of the department.
Minimum Qualifications
Education:
Associates degree required.
Experience:
Two (2) years of experience in the capacity of credentialing coordinator or credentialing specialist specializing in provider enrollment.
Minimum two (2) years of experience providing onboarding to healthcare providers.
Preferred Qualifications
Bachelor’s degree in a healthcare-related field, business administration, healthcare, or similar field preferred.
Strongly prefer candidates with a healthcare background and EPIC experience
Certified Professional Medical Services Management ( CPMSM ) or Certified Professional Credentialing Specialist ( CPCS ) certification is preferred.
Experience with the CAQH (Council for Affordable Quality Healthcare) database and application process.
Working knowledge of credentialing accreditation regulations, policies and
Self-motivated and possess excellent communication skills with strong attention to detail.
Critical thinking, problem-solving, analytical approach, relationship building, flexibility, innovation, and creativity are necessary characteristics.
Excellent written communication skills, including reports, letters, memos, and emails.
Proficient use of Microsoft Office applications: Word, Excel, PowerPoint, and Visio
Excellent customer service, organizational, problem-solving, and time management skills are essential.
Closing Date
Open Until Filled Yes
Special Instructions to Applicants
Quick Link https://careers.msm.edu/postings/20513
EEO Statement Summary
Morehouse School of Medicine is an equal opportunity/equal access/affirmative action employer fully committed to achieving a diverse workforce and complies with all Federal and Georgia State laws, regulations, and executive orders regarding non-discrimination and affirmative action. Morehouse School of Medicine does not discriminate on the basis of race, age, color, religion, national origin or ancestry, sex, gender, disability, veteran status, genetic information, sexual orientation, or gender identity or expression.
Job Duties
Description of Job Duty
Credentialing Operations:
Obtain and verify credentialing documents required upon provider onboarding.
Ensure compliance with the appropriate accrediting and regulatory agencies in relation to credentialing functions, including application management and primary source verification.
Compile and maintain current and accurate data for all providers.
Complete provider credentialing and re-credentialing applications.
Monitor applications and follow up as needed.
Maintain all providers’ copies of current state licenses, DEA certificates, malpractice coverage, and other required credentialing documents.
Maintain knowledge of hospital-specific requirements for credentialing providers.
Set up and maintain provider information in online credentialing databases and systems.
Track license and certification expirations for all providers to ensure timely renewals.
Track licenses, DEA , and professional liability expirations for all faculty members
Create and maintain a credentialing tracking database.
Coordinate with hospitals and physicians to complete the credentialing process, including any additional documentation, verifications, references, and applications necessary.
Complete and review all applications to ensure accuracy before submission.
Conduct onboarding document requests and primary verification sources.
Coordinate the management of the expirable process to ensure all contracted provider licenses and certificates remain current, ensuring appropriate notification prior to expiration.
Update and maintain CAQH records according to provider specifications.
Revise general aspects of the credentialing process as necessary; make recommendations for changes in policies and procedures.
Conduct file reviews to ensure documents meet credentialing standards and all records meet the carriers’ standards.
Assist in quarterly CAQH mass attestation.
Process and file applications with third-party payors according to each payer’s individual requirements.
Address and correct discrepancies as requested by payors.
Complete requests for re-credentialing for both providers.
Process requests from payers for credentialing information.
Answer questions and process requests from staff/providers related to credentialing information.
Perform and collect primary source verification documentation for licensing, board certifications, proof of professional liability insurance, National Practitioner Data Bank ( NPDB ), and other sources as required based on NCQA standards, health plan requirements, and company credentialing policies.
Maintain the credentialing database and ensure up-to-date information is always obtained.
Responsible for monitoring and managing credentialing/re-credentialing requirements and ensuring the collection of all required renewal certifications are on file within the required time frame.
Provide consistent and timely follow-up on all outstanding credentialing/re-credentialing files.
Prepare and scan credentialing/re-credentialing files and other credentialing documentation into scanning software.
Process provider demographic changes, ensure appropriate documentation has been submitted, update the credentialing database, and notify health plans of changes.
Process provider network terminations, specialty/category changes, and leave of absence requests.
Perform other duties as assigned.
On-Boarding Operations:
Serve as the initial point of contact for the Department of Obstetrics/ Gynecology for transactions and initiate appropriate notifications and steps as required for successful provider onboarding.
Onboards faculty and ensures faculty has appropriate equipment, parking space, and security badges.
Maintain progress report, review, and monitor the transition timeline while tracking the provider(s) status to ensure transition steps are completed and appropriately communicated to all operational and financial departments within the committed timeframe.
Provide each Faculty with a detailed overview of the steps, timeline, required documents, signatures, and tasks involved in a transition.
Ensure the required licensures are in place to operate.
Ensure all credentialing paperwork from the Faculty has been submitted in a timely manner.
Investigate and resolve issues affecting the transition of the faculty or the requirements of applicable departments.
Performs other duties as assigned.
Pre-Employment/Employment Requirements
All offers of employment are contingent upon successful completion of all pre-employment screenings.
Immunization
Immunization Requirements
It is MSM’s Immunization policy that all Prospective Employees are required to provide proof that they are vaccinated against COVID -19 prior to commencement of employment. If employment will commence during Flu Season, MSM requires all individuals to provide proof that they are vaccinated against Seasonal Influenza for the current Flu Season, unless granted an exemption. Failure to provide proof of vaccination for any required vaccines or obtain an exemption from MSM will result in rescission of a candidate’s offer of employment or disciplinary action up to and including termination.
Posting Specific Questions
Required fields are indicated with an asterisk (*).
- What is your highest level of completed education?
High School/GED
Associate's Degree
Bachelor's Degree
Master's Degree
EdD, MD, PhD, DrPH, JD
- Please provide your salary requirement. Do Not Enter Negotiable, a specified salary range is required. Not providing a salary requirement will result in your application being incomplete and will not be considered.
(Open Ended Question)
Applicant Documents
Required Documents
Curriculum Vitae or Resume
Optional Documents
Cover Letter