Credentialing Coordinator

Where You'll Work At Dignity Health , living our values means bringing passion into action every day. Dignity Health-Yavapai Regional Medical Center (DH-YRMC), now part of CommonSpirit Health, is a not-for-profit integrated healthcare provider that offers a broad range of inpatient and outpatient services including network-wide opportunities to advance your career. What started as a simple community hospital, is today a state-of-the-art healthcare system with two acute care hospitals, a network of primary and specialty care clinics, outpatient health and wellness centers, cardiac diagnostic centers, and outpatient medical imaging centers. As you build your career at DH-YRMC, you'll find Prescott is an inspiring place to live, work, and enjoy the outdoors. It is an inviting community with bygone charm and modern amenities. Local residents enjoy four spectacular seasons, while the area offers nearly year-round sunshine for any outdoor adventures. The carefree, relaxed lifestyle offers short commute opportunities, so you can focus on your career and your family. Dignity Health-Yavapai Regional Medical Center extends this feeling with a strong sense of family, security, and belonging. Our compassion and commitment to quality care have earned awards, such as the Stroke Care Excellence Award (2022), Neuroscience Excellence Award (2021, 2020), and America's 100 Best Hospitals for Stroke Care Awards (2020, 2021) and have placed us at the top of the charts in community and nationwide in healthcare. Come experience the incredible quality-of-life that Dignity Health-YRMC and Prescott have to offer! #hellohumankindness • Dignity Health now offers an Education Benefit program for benefit-eligible employees after 180 days. This program provides debt relief and student loan assistance to help you achieve your goals. Full-time employees can receive up to $18,000 over five years, while part-time employees can receive up to $9,000. Join our team at Dignity Health to take advantage of this amazing opportunity! Job Summary and Responsibilities Are you a master organizer with an eagle eye for detail? Do you thrive on ensuring everything is in its right place, especially when it comes to vital healthcare credentials? We're looking for a highly skilled Credentials Coordinator to orchestrate our provider credentialing, re-credentialing, and payer enrollment processes. You'll be the linchpin in maintaining our meticulously updated databases, ensuring compliance, and building strong relationships with health plans and providers. If you're a proactive problem-solver who can navigate regulatory landscapes with finesse, join us and play a crucial role in our mission to deliver top-notch care!

To be successful in this role, you will demonstrate a comprehensive understanding of credentialing regulations and processes, possess strong organizational and communication skills, and effectively manage complex administrative tasks to ensure provider compliance and efficient operational flow. Maintains up-to-date physician database of all applications, enrollment status, demographics, medical licenses, drug enforcement administration certificates, professional liability insurance, etc. Responsible for accuracy and integrity of data entered into the credentialing database system. Assist in designing/compiling other data supporting various statistics utilized internally to monitor operations. Responsible for continuous collection of information required to comply with delegated agreements and credentialing policies. Conducts credentialing database training for new hires, and refresher training for existing staff. Provides input for training materials and job aids. Reviews applications and other data sources for accuracy and completeness prior to submitting to Health Plan. Job Requirements Required High School Graduate General Studies and three years in a Health Care Plan Credentialing/Provider Relations and/or auditing setting, or Health Care Enrollment. Preferred Bachelors Five years in a Health Care Plan Credentialing/Provider Relations and/or auditing setting, or Health Care Enrollment Certified Provider Credentialing Specialist