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SCP Health

CVO Credentialing Coordinator

Posted 4 days ago
$42944 - $59580 per year
2-5 years experience
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AI Summary

The Credentialing Coordinator manages the review and verification of practitioner applications to ensure eligibility and compliance with quality standards. They also maintain the credentialing database and interface with internal and external stakeholders to resolve credentialing and privileging issues.

At SCP Health, what you do matters

As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.

Why you will love working here:

- Strong track record of providing excellent work/life balance.

- Comprehensive benefits package and competitive compensation.

- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.

Responsibilities:

  • Coordinates and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility.
  • Conducts thorough investigation, research, and timely primary source verification of all components of the application file.
  • Identifies issues that require additional investigation and evaluation, validates discrepancies, and ensures appropriate follow-up.
  • Reviews necessary documentation and verifications prior to submittal to clients, ensuring turnaround time, productivity, quality of data and communication and collaboration are within required KPI expectations.
  • Responds to inquiries from other healthcare organizations, and interfaces with internal/ external customers on day-to-day credentialing/privileging issues as they arise.
  • Utilizes and maintains the credentialing database, optimizes efficiency, and performs queries, reports, and document generation.
  • Meets weekly performance metrics which include  file completion, quality, and turnaround time. 
  • Maintains strict confidentiality of all data and information.
  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Embodies SCP Health and CS Partners core values:  Respect, Courage, Collaboration and Agility.
  • Performs miscellaneous job-related duties as assigned.

Knowledge, Skills, and Abilities:

  • Ability to work independently and to prioritize and manage multiple projects in a deadline-driven environment.
  • Ability to apply critical and strategic thinking in solving issues/concerns.
  • Ability to organize, prioritize, and manage time.
  • Ability to communicate effectively at all levels within the organization.
  • Must have excellent written and oral communication skills.
  • Knowledge of Christus credentialing process and CS Partners and SCP Health clinician scheduling process.
  • Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, Windows, Outlook)

EDUCATION:

  • Bachelor’s degree in Business, Healthcare Administration, equivalent field, or equivalent work experience.

WORK EXPERIENCE/QUALIFICATIONS:

  • 3 to 5 years of experience in hospital or managed care clinician credentialing.
  • Prior experience with the Christus credentialing process and CS Partners clinician scheduling process, preferred.

CERTIFICATES AND LICENSES:

  • Certified Provider Credentialing Specialist (CPCS) preferred.

PRIMARY LOCATION:

  • Remote - United States

Pay Range:

42,944.00 - 59,580.00 USD annually

This range represents the anticipated base salary for this role. Actual compensation will be determined based on experience, qualifications, and internal equity considerations.

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We offer a comprehensive benefits package designed to support your health, financial well-being, and work-life balance, including medical dental, vision insurance, a 401(k) plan with a company match, paid time off and holidays, professional development support, and employee wellness resources.

Visit our website for further information. https://myscpbenefits.com/

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