Provider Credentialing Coordinator - Hybrid, Dallas

Integrative Emergency Services, LLC ("IES") is looking for a Provider Credentialing Coordinator  to work directly with health care providers and hospital Medical Staff Offices (MSOs) to ensure providers secure and maintain privileges to work at assigned hospital facilities.

Will be working in a hybrid capacity at the corporate office in Dallas, TX, 75244.

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.

Manages assigned book of business throughout the initial and reappointment process Prepares provider credentialing files for required accountable care organizations.

Creates credential file and enters all pertinent credentialing information received from the provider initial and reappointment application. Uploads supporting documents to the document vault in the company database.

Coordinates file review for accuracy and prepares discrepancies for quality review and approval.    Researches and obtains verification of clinicians' medical experience, professional references, state licensure, DEA, DPS, etc.

Coordinates with hospital, centralized verification service, medical staff, and clinicians to complete privileging process, including any additional documentation, references, and applications using consistent follow-up as necessary.

Facilitates the State required collaborative agreement and APP supervision process.

Provides status updates for each assigned book of business daily in system dashboard.

Maintains company database with current documentation, licensure and updated demographics.

Maintains accurate site rosters with current privileged providers at all times.

Adhere to all company policies and procedures.

Ensures providers maintain all current licensure and certifications to remain active at hospitals.

Creates strong relationships with clients, providers, and Medical Staff Offices.

Support and lead hospital credentialing for any new clients.

Complete CAQH applications for new and existing providers.

Complete government applications, commercial payer applications, and handle any corrections or rejections.

Ensure enrollments are submitted on timely basis to avoid risk and held A / R.

Monitor enrollment reports to track application submissions and revalidations.

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 Detail orientation 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 Familiarity with databases Ability to read, write and speak English proficiently Education / Experience :

Required :

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 :