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Credentialing Coordinator (Remote) - Department of Medicine - Business Office
Credentialing Coordinator (Remote) - Department of Medicine - Business OfficeWashington University in St. Louis • Portland, OR, US
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Credentialing Coordinator (Remote) - Department of Medicine - Business Office

Credentialing Coordinator (Remote) - Department of Medicine - Business Office

Washington University in St. Louis • Portland, OR, US
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Scheduled Hours

40

Position Summary

This position is responsible for initiating, preparing / coordinating and monitoring the privileging and credentialing process for faculty, Nurse Practitioners and allied health professionals. Works closely with Directors, Billing Operations, Medical Staff Offices (MSOs), Credentialing Verification Office (CVO), WashU Physician Network (WUPN) and Department of Medicine divisions.

Job Description

Primary Duties & Responsibilities :

  • Manages and tracks initial privileging process for all new providers throughout each fiscal year.
  • Assists with hospital reappointment for active Department of Medicine providers.
  • Responsible for initiating hospital privilege process and application paperwork.
  • Advises faculty and allied health professionals regarding the completion of application paperwork.
  • Notifies Department of Medicine personnel of new providers.
  • Serves as a liaison between multiple hospital Medical Staff Offices (MSOs), Credentialing Verification Office (CVO), Department of Medicine divisions and providers.
  • Assists MSOs with collection of documentation necessary for obtaining hospital privileges.
  • Advises Nurse Practitioners on completion of their collaborative practice agreements.
  • Responsible for obtaining, reviewing and tracking Department of Medicine Collaborative Practice Agreements.
  • Serves as a liaison between WUSM General Counsel Office and Department of Medicine divisions.
  • Assists with the professional liability process.
  • Tracks all steps in "IM New Physicians" spreadsheet.
  • Attends and coordinates Credentialing process meetings, as needed.

Credentialing / Billing :

  • Manages, prepares and coordinates Department of Medicine provider enrollment with the Government and Managed Care Plans, WashU Physician Network and all Out of State Medicaid applications. Includes completion of out-of-state applications and WUPN load sheets.
  • Assists WUPN with reappointment for active Department of Medicine providers.
  • Assists Directors, Billing Operations in regards to untimely provider packets.
  • Serves as a liaison between Department of Medicine divisions and WUPN.
  • Works the Epic Claim Edit Task Manager relating to Credentialing Claim Edits.
  • Creates new accounts and Incident-To Supervising Providers to the Epic dictionary.
  • Adds provider numbers and termination dates to the Epic dictionary.
  • Maintains the Epic dictionary for Department of Medicine providers.
  • Maintains provider licenses.
  • Key resource regarding the credentialing process for the Department of Medicine divisions, billing staff, providers and other Departments.
  • Track all steps in "IM New Physicians" spreadsheet.
  • Attends and coordinates Credentialing process meetings, as needed.
  • Administrative :

  • Carries out various special projects as directed.
  • Working Conditions :

  • Job Location / Working Conditions
  • Normal office environment.
  • Physical Effort
  • Typically sitting at desk or table.
  • Repetitive wrist, hand or finger movement.
  • Equipment
  • Office equipment.
  • Required Qualifications

    Education : High school diploma or equivalent high school certification or combination of education and / or experience.

    Certifications / Professional Licenses : No specific certification / professional license is required for this position.

    Work Experience : No specific work experience is required for this position.

    Skills : Not Applicable

    Driver's License : A driver's license is not required for this position.

    More About This Job

    Preferred Qualifications :

  • Some college.
  • Preferred Qualifications

    Education : No additional education unless stated elsewhere in the job posting.

    Certifications / Professional Licenses : No additional certification / professional licenses unless stated elsewhere in the job posting.

    Work Experience : No additional work experience unless stated elsewhere in the job posting.

    Skills : Deadline Management, Human Resource Management System, IDX Systems, Managed Care, Microsoft Excel, Microsoft Word, Provider Credentialing, Team Collaboration, Working Independently

    Grade

    C09-H

    Salary Range

    $22.78 - $34.21 / Hourly

    Accommodation

    If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.

    Pre-Employment Screening

    All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure / certification verification, physical examination, certain vaccinations and / or governmental registry checks. All offers are contingent upon successful completion of required screening.

    Benefits Statement

    Personal :

  • Up to 22 days of vacation, 10 recognized holidays, and sick time.
  • Competitive health insurance packages with priority appointments and lower copays / coinsurance.
  • Take advantage of our free Metro transit U-Pass for eligible employees.
  • WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
  • Wellness :

  • Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
  • Family :

  • We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered.
  • WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
  • EEO Statement

    Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.

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