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Credentialing Coordinator

📁
Patient Care
💼
School of Medicine
📅
20001583 Requisition #

Job Summary:

 

The Credentialing Coordinator is responsible for assuring the proper credentialing and privileging of physicians, mid-level Providers, research associates, professionals, and paraprofessional individuals. The Credentialing Coordinator will maintain and ensure compliance for all licensures and appointments with state and governmental agencies and certifications for each Provider. The Credentialing Coordinator also tracks and ensures the completion of required continuing medical education courses/workshops.

Job Duties:

 

  • Guides provider through credentialing and re-credentialing process and ensure the completion of required documentation for UT Health and all facilities where the provider delivers services. Works with provider to prepare and submit Medicare & Medicaid applications to enrollment office.
  • Prepares all credentialing applications.  Develops and provides documentation not supplied by the Provider and addresses any additional information or corrections requested.
  • Verifies and tracks the proper credentialing and re-credentialing of physicians, professionals, and paraprofessional individuals within UT Health San Antonio and all facilities where the provider has privileges.
  • Receives credentialing application and enters data into credentialing system.
  • Works with provider to maintain and ensure compliance for all licensures and appointments with state and governmental agencies and certifications for each provider.  Generates monthly report of expiring credentials.
  • Ensures ongoing monitoring of performance between credentialing cycles, generate performance review documentation, share with department for completion, and notify external entities when a Provider has been suspended.
  • Works with departments to obtain proof of professional liability coverage.

Education:

 

Associate's degree is required.

Experience:

 

Three (3) years administrative experience, preferably in the hospital or clinical field, is required.

 

 

UT Health San Antonio is an equal employment opportunity and affirmative action employer.  It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, national origin, age, sexual orientation, disability, or veteran status.

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