Provider Credentialing Coordinator - Hybrid, Dallas

IES is dedicated to cultivating best practices in emergency care, providing comprehensive acute care services, creating value, and supporting patients, employees, clients, providers, and physicians in pursuit of the highest quality health care.
 

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following.  Others may be assigned.

• Manage assigned book of business throughout the initial and reappointment process
• Prepare provider credentialing files for required ACOs (Accountable Care Organizations).
• Create credentialing files and enters all pertinent credentialing information received from the provider's initial and reappointment application. Upload supporting documents to the document vault in the company database.
• Coordinate file reviews for accuracy and prepares discrepancies for quality review and approval.   
• Research and obtain verification of clinicians' medical experience, professional references, state licensure, DEA registration, DPS credentials, and other required documentation.
• Coordinate with facility, centralized verification services, medical staff, and clinicians to complete privileging process, including any additional documentation, references, and applications using consistent follow-up as necessary.
• Facilitate the State required collaborative agreement and APP supervision process.
• Provide routine status updates for each assigned book of business in the system dashboard
• Maintain company database with current documentation, licensure and updated demographics.
• Maintain accurate site rosters with current privileged providers at all times.
• Ensure providers maintain all current licensure and certifications to remain active at hospitals.
• Collaborate with multiple teams and departments across organizations to impact outcomes
• Build strong relationships with clients, providers, and Medical Staff Offices
• Support and lead hospital credentialing efforts for new clients
• Adhere to all company policies and procedures.

QUALIFICATIONS

Knowledge, Skills, Abilities:  To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Excellent interpersonal, organizational, and verbal/written communication skills
• Result and detail oriented with ability to drive assigned task to closure in a fast-paced environment.
• Ability to manage multiple priorities
• Strong customer service orientation
• Ability to use discretion appropriately and maintain confidentiality
• High levels of proficiency with MS Office applications including Excel
• Familiarity with databases
• Ability to read, write and speak English proficiently

Education / Experience:  Include minimum education, technical training, and/or experience preferred to perform the job.

Required:

• High school diploma or equivalent experience
• Minimum 1 year of credentialing experience
• Thorough understanding of the provider privileging process

Preferred:

• 2-4(+) Years of Provider Credentialing experience ideally in hospital settings 
• Bachelor’s degree

PHYSICAL DEMANDS:  The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus
• While performing the duties of this job, the employee is regularly required to talk and hear
• Frequently required to stand, walk, sit, use hands to feel, and reach with hands and arms
• Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to:  remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.)
• Occasionally lift and/or move up to 20-25 pounds 
• Fine hand manipulation (keyboarding)

WORK ENVIRONMENT:  The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Office environment - 4835 Lyndon B Johnson Fwy #900, Dallas, TX 75244
• This is a hybrid role with a strong emphasis on onsite presence and communication.  
• Regular attendance at the office is essential to support work initiatives and respond to in-person requests. 
• Standard business hours apply, with flexibility as needed to accommodate early mornings, evenings, or occasional weekend projects and meetings. 
• The noise level in the work environment is typically low. 

The company is committed to creating a diverse, inclusive, and equitable environment and is proud to be an equal opportunity employer. Qualified applicants of any age, race, religion, nationality, sexual orientation, gender identity or expression, disability, or veteran status will receive equal consideration for positions. We welcome people of diverse backgrounds, experiences, and abilities and believe that the unique experiences of our team drive our success.