Credentialing Coordinator

Credentialing Coordinator St. Luke's Health System - 3.5 Boise, ID Job Details Full-time 1 day ago Qualifications High school diploma or GED Full Job Description At St. Luke's, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke's is truly a great place to work. The Credentialing Coordinator supports departmental activities to ensure quality in conducting, maintaining, and communicating physician credentialing, privileging, and primary source verifications.

What You Can Expect:

Determines applicant's initial eligibility for membership/participation. Analyzes application and supporting documents for completeness and informs the practitioner of the application status, including the need for any additional information. Facilitates the re-credentialing/reappointment process for eligible providers. Compiles, evaluates, and presents the practitioner-specific data collected for review by one or more decision-making bodies. Processes requests for privileges. Obtains and evaluates information received from primary sources. Recognizes, investigates, and validates discrepancies and adverse information obtained from the application, primary source verifications, or other sources.- Participates in ongoing assessment of governing documents (bylaws, rules and regulations), standards and policies to ensure continuous compliance. Displays entry level knowledge of key functions, terminology, and work products of legal, information technology, risk management, and performance concepts. Possesses beginning to working knowledge of subject matter. May verify and document expirables using acceptable verification sources to ensure compliance with accreditation and regulatory standards. May collaborate with physician leaders to develop and maintain a facility-specific, criteria-based clinical privileging system in accordance with regulatory requirements, accreditation standards, and organizational policies. May coordinate meetings of the medical staff organization.- May coordinate and develop provider on-boarding processes (orientation, training activities, and IT access). May conduct, participate in, and maintain focused and ongoing professional practice evaluation processes for privileged providers. May facilitate event reporting incidents through the medical staff leadership including documentation of resolution. May observe audits of regulatory and/or delegated credentialing entities. Performs other duties and responsibilities as assigned.

Qualifications:

Education:

High School Diploma or equivalent.