Healthcare Credentialing Coordinator

Company: Tridant Soultions
Location: Kapolei
Posted on: May 12, 2022

Job Description:

(Only QUALIFIED Healthcare Professionals accepted) Hospital/Clinic - Medical Staff Coordinator - Tridant Solutions is a 2020 INC 5000 Awardee (3 years in a row), woman-owned small business and SBA 8(a) firm poised for continued growth. If work ethic, delivering results and challenge are meaningful to you, this is your firm. Review our website (www.tridantsolutions.com) to learn about the types of services we provide, our client base, and exciting programs.
Job Duties:
Privilege and credential approximately 40 military and non-military HCPs
Assess and review the qualifications of HCPs.
Ensure HCP clinical competency (i.e. that the healthcare provider possesses the required education, training, and experience to practice in the state in which they are providing services)
Ensure that HCPs maintain regulatory compliance in their scope of practice (i.e. ensure that the services they are providing comply with the regulations specific to their profession which determine what services may be provided under what conditions).
Validate that HCPs at the HIARNG are authorized to provide specific health care services.
Assist HCPs with preparing for the Credentials and Privileging Certification Board.
Maintain all aspects of the HCPs credentials record and ensure all information is always up to date.
Update HCPs credential files with information verifying their reported credentials and qualifications from the original organization that issued the document or credential (i.e. Prime Source Verification (PSV)).
Ensure the accurate completion of all PSVs and upload all documentation required by the PSVs into the Joint Centralized Credentials Quality Assurance System (JCCQA).
Monitor and manage credentialing-re-credentialing requirements and ensure the collected, required renewal certifications are on file within the required time frame. Provide consistent and timely follow-up on all outstanding credentialing-re-credentialing files.
Notify providers and the HIARNG Credentialing Officer of missing or incomplete required documents. Collect said documents, perform PSV, update the providers record, and upload the documents.
Notify leadership when an issue with a providers license, education, or other form of required qualification is noticed while checking on a providers credentials. This may require additional investigation into the issue.
Provide adverse action support to all HIARNG Military and non-military HCPs.
Assist HCPs with preparing and sending inter-facility credentials transfer briefs (ICTBs), which is the electronic transferring of a providers credential file (PCF) to the facility that has requested such documentation. Record, process, manage, and initiate the HIARNG ICTBs. Provide ICTB support to all HIARNG Military and non-military HCPS and program end-users
Any other duties as required

Services may occasionally be required evenings or weekends.
Education:
High School diploma required
Prefer candidates with an Associates degree (AA-AS)
Experience:
At least 2 years of experience working with Healthcare providers
Knowledge of medical credentialing and privileging procedures and standards
PC proficiency, specifically Microsoft Word and Excel
Must be able to read, write, and speak English fluently.
BENEFITS AND COMPENSATION:
Salary DOE
Medical, Dental, Vision, Prescriptions, life, accidental death & dismemberment, and long-term disability insurance.
Access to Employee Assistance Programs (EAPs).
401K + 3% matching.
Educational and training reimbursement eligible.
Vacation (2 weeks-year, accruing from first day), paid federal holidays.
Opportunities for volunteer and community service projects, company team events, and holiday parties.
Employment contingent upon successful background check and drug screen.

Keywords: Tridant Soultions, Honolulu , Healthcare Credentialing Coordinator, Healthcare , Kapolei, Hawaii