A place that gives you opportunity and takes your breath away.

Job Summary

Conducts background investigations on physicians and other providers applying for affiliation including licensure, education and post-graduate clinical training, board certification, disciplinary actions and other professional sanctions, malpractice history, and peer assessment of current competence at time of appointment, reappointment, and cross credentialing.

Job Duties

• Reviews and analyzes physician applications and credentialing documents including certificates of education, residency and fellowship training, board certification and eligibility, licensure, professional work history, liability insurance and malpractice history.
• Assesses completeness of information and providers' qualifications relative to established standards.
• Reviews and analyzes primary source verification for licensure, certification or registration required to practice a profession.
• Requests, maintains, and ensures competency data is present at appointment and re-appointment.
• Maintains tracking of all new provider s drug screening, background checks, child abuse clearance, finger printing, code of conduct, disruptive practitioner policies, current clinical competency data and Health Service information for new providers.
• Immediately reports to manager any collected information which may be averse to an applicant.
• Identifies and flags adverse information from application materials for the purpose of conducting special follow-up investigations in preparation for credentialing review.
• Maintains a working knowledge of applicable regulatory agencies.
• Maintains an understanding of the third-party payor requirements.
• Prepares and screens, mails letters, tracks and responds daily.
• Employs public relations skills in a wide variety of phone contacts with external sources for purposes of soliciting information essential to credentials investigations, including licensing agencies; university and hospital training program administrators; certification boards; liability insurance carriers; hospital officials and credentials staff; and physicians and their office staffs.
• Organizes and maintains physician files and information following confidentiality guidelines, performs varied clerical support functions.
• Internally audits and maintains physician files in accordance with established principles of legal documentation and confidentiality.
• Prepare all files monthly for Credentials Committee review and follow-up on Credentials Committee Decisions.
• Establish and maintain excellent relationship and good communication channels with physicians, office staff, and practice administrators.
• Assist with Special projects (i.e., physician education, JCAHO and Department of Health Preparation, clinical competency data, life supports)
• Prioritize to meet deadlines on daily work and special projects.
• Maintain a thorough understanding of the standards of JCAHO, Department of Health, Bylaws, Rules and Regulation of the Medical Staff, and other regulatory agencies as appropriate.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.​

This posting reflects an opening for Credentialing Coordinator I and we are seeking candidates for that position. Geisinger reserves the right to consider applicants for higher levels of this role based on their skills, qualifications, and experience. We encourage all qualified individuals to apply.

#LI-REMOTE

Education

High School Diploma or Equivalent (GED)- (Required)

Experience

Minimum of 2 years-Healthcare (Required)

Skills

Working Independently; Communication; Computer Literacy; Professional Presentation; Credentialing

About Geisinger

Founded more than 100 years ago by Abigail Geisinger, the system now includes ten hospital campuses, a 550,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. With nearly 24,000 employees and more than 1,700 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. Learn more at geisinger.org or connect with us on Facebook, Instagram, LinkedIn and Twitter.

Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.

Our Vision & Values

Everything we do is about making better health easier for our patients, our members, our students, our Geisinger family and our communities.

KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.

EXCELLENCE: We treasure colleagues who humbly strive for excellence.

LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.

INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.

SAFETY: We provide a safe environment for our patients and members and the Geisinger family.

Our Benefits

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and prescription coverage.