Credentialing Coordinator
Dartmouth Health
Overview
Facilitate the credentialing and re-credentialing of eligible population across all D-H H system members.
Responsibilities
* Process the credentialing and re-credentialing, including the validation of identity, training, experience, reputation and competence of applicants applying or re-applying for membership.
* Provides communication regarding the credentialing and re-credentialing process and requirements.
* Obtains missing information and clarifies any inconsistencies identified between submitted documentation and verifications.
* Ensures timely completion of credentialing and re-credentialing applications.
* Ensures that the credentialing/re-credentialing programs maintain compliance with regulatory standards (e.g. TJC, NCQA and CMS, etc.), internal policies and D-H Professional Staff Bylaws, Rules and Regulations.
* Conducts quality assurance reviews on credentialing and re-credentialing files.
* Enters new data, maintain existing records, and assists in the continued development of the comprehensive credentialing database.
* Provides support to system members regarding education and training around the Credentialing process.
* Performs other duties as required or assigned.
Qualifications
* High school diploma or equivalent with 3 years of experience in healthcare or Human Resources.
* Associates degree in business or healthcare related field preferred.
* Strong written and verbal interpersonal skills required.
* Must be detail oriented.
* Demonstrated proficiency in word processing, spreadsheet software, database management and data entry preferred.
Required Licensure/Certifications
- None
* Area of Interest:Professional/Management;
* FTE/Hours per pay period:1.00 - 1.00 - 40 hrs/week;
* Shift:Day;
* Job ID:27610;
Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude or treat people differently because of race, color, national origin, age, disability, or sex.
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