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Inova Health System
Fairfax, VA, United States
The Centralized Credentialing Coordinator completes the credentialing process for medical staff membership and/or clinical privileges in accordance with the appropriate Joint Commission standards and other regulations. Identifies extraordinary information, discrepancies, time gaps and obtains additional explanation and information as required. Prov
Job Source: Inova Health SystemThe GW Medical Faculty Associates
Arlington, VA, United States
About GW MFA MFA physicians provide comprehensive patient care, offering one practice for the whole person with 52 medical and surgical specialties. As members of the GW School of Medicine and Health Sciences faculty, MFA providers are teachers and mentors for medical students, residents, fellows, and researchers preserving the rich tradition of a
Job Source: The GW Medical Faculty AssociatesGW Medical Faculty Associates
Washington, DC, United States
About GW MFA MFA physicians provide comprehensive patient care, offering one practice for the whole person with 52 medical and surgical specialties. As members of the GW School of Medicine and Health Sciences faculty, MFA providers are teachers and mentors for medical students, residents, fellows, and researchers preserving the rich tradition of a
Job Source: GW Medical Faculty AssociatesOffice of the Secretary of Health and Human Services
Rockville, MD, United States
Summary This position is located in the Department of Health and Human Services, Office of the Secretary, Assistant Secretary for Administration, Program Support Center, Federal Occupational Health (FOH), located in Rockville, Maryland. Responsibilities The Credentialing & Privileging Coordinator performs the following duties: The Credentialing and
Job Source: Office of the Secretary of Health and Human ServicesSomatus
McLean, VA, United States
Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a ch
Job Source: SomatusPlatinum Medical Staffing
Rockville, MD, United States
Benefits: Wellness resources Job Summary We are seeking an experienced Recruiter to join our team. In this role, you will scour all available avenues to fill our open positions with the best-qualified candidates. Your responsibilities will include defining hiring criteria, researching possible candidates on LinkedIn and other social media sites,
Job Source: Platinum Medical StaffingCVCA Rockville - Cardiology Specialist
Rockville, MD, United States
Overview: We are seeking a Credentialed Veterinary Technician to join our growing team and help ensure we are providing those great experiences. When you join our organization as a Veterinary Technician, you gain access to a peer network of over 5000 individuals, CE allowance, and Learning & Development programs to help you meet your career goals.
Job Source: CVCA Rockville - Cardiology SpecialistSouthern Veterinary Partners
Rockville, MD, United States
We are seeking a Credentialed Veterinary Technician to join our growing team and help ensure we are providing those great experiences. When you join our organization as a Veterinary Technician, you gain access to a peer network of over 5000 individuals, CE allowance, and Learning & Development programs to help you meet your career goals. At CVCA,
Job Source: Southern Veterinary PartnersFairfax, VA, United States
The Centralized Credentialing Coordinator completes the credentialing process for medical staff membership and/or clinical privileges in accordance with the appropriate Joint Commission standards and other regulations. Identifies extraordinary information, discrepancies, time gaps and obtains additional explanation and information as required. Provides assistance with questions and directs staff to appropriate resources to educate.
Job Responsibilities
Processes practitioner applications for initial appointments and/or reappointments. Communicates status of application to practitioners and all interested parties on a regular basis per policy.
Manages, supports and maintains credentials files on all medical staff members and advanced practice providers. Consults and works with other hospital departments to coordinate process.
Assures compliance with regulatory requirements and accrediting body standards, Bylaws and policies and maintains current knowledge.
Plays a proactive role in improving processes within the department for maximum efficiency by participating/leading process improvement activities.
Appropriately identifies, communicates and investigates extraordinary information, time gaps and potential discrepancies and adverse information, and independently investigates and validates information on applications, primary source verifications or other sources.
Manages, supports and maintains the Network Insurance Credentialing process for employed practitioners.
Completes audit updates on Network Insurance files.
Obtains additional information for all Network Insurance applications with pending and closed lawsuits per policy.
Works to ensure applications are completed within the required timeframe to meet the appropriate Credentialing Committee Deadlines whenever possible.
Reviews Privilege request forms for accuracy and provides criteria as appropriate. Notifies practitioner that privilege will be withdrawn if criteria not received by deadline.
Complete evaluation of pre-application/application to determine applicant's initial eligibility for membership.
Maintain credentialing database continuously and consistently to ensure that accurate and current information is available to all stakeholders.
Provides mentorship to credentials specialists. Assists with orientation of staff and provides direction to department resources.
Provides assistance with questions and directs staff to appropriate resources to educate.
May perform other duties as assigned.
Additional Requirements
Experience - 2 years experience in a healthcare setting or customer service ; Medical Staff Credentialing is highly preferred.
Education - High School or GED High School diploma or equivalent
Email Alert for Centralized Credentialing Coordinator jobs in Fairfax, VA, United States
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