Credentialing Coordinator

Our promise to you:

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America

Address:

9100 W 74TH ST

City:

SHAWNEE MISSION

State:

Kansas

Postal Code:

66204

Job Description:

Job Summary

Responsible for coordinating and managing the credentialing and recredentialing processes for physicians and advanced practice providers. This position ensures the timely and accurate collection, verification, and maintenance of credentialing documentation while supporting compliance with regulatory, accreditation, payer, and organizational requirements. The Credentialing Coordinator collaborates with providers, leadership, medical staff, and external agencies to facilitate credentialing activities, maintain provider records, and support physician onboarding and practice operations.

Essential Functions

• Coordinates and manages the credentialing process for new physicians and providers, including initial credentialing, recredentialing, and enrollment activities.

• Collects, reviews, verifies, and maintains credentialing documentation to ensure completeness, accuracy, and compliance with applicable requirements.

• Monitors provider licensure, malpractice insurance coverage, continuing medical education (CME, certifications, and other credentialing requirements.

• Assists providers in completing credentialing applications and required forms.

• Communicates and coordinates with state, federal, private, managed care, Medicare, Medicaid, and regulatory agencies regarding credentialing and enrollment matters.

• Maintains credentialing databases, files, and records in accordance with organizational policies and regulatory standards.

• Coordinates physician office startup and relocation activities related to credentialing, provider enrollment, and vendor relations.

• Tracks credentialing progress and communicates status updates to providers, leadership, and key stakeholders.

• Communicates changes in credentialing, enrollment, payer, and regulatory requirements to appropriate individuals and departments.

• Prepares correspondence, reports, credentialing packets, presentations, and related documentation.

• Attends meetings, conferences, and committee meetings as assigned and communicates relevant updates and action items.

• Serves as a resource to providers and staff regarding credentialing policies, procedures, and requirements.

• Maintains confidentiality of provider, patient, and organizational information in accordance with applicable policies and regulations.

• Supports departmental projects, operational initiatives, and process improvement activities.

• Performs other duties as assigned.

Knowledge, Skills, and Abilities

• Excellent verbal and written communication skills with the ability to communicate effectively with physicians, advanced practice providers, medical staff, leadership, hospital personnel, and external agencies.

• Knowledge of physician and provider credentialing requirements, processes, and regulatory standards.

• Ability to maintain confidentiality and handle sensitive information with professionalism and discretion.

• Strong computer skills, including proficiency in Microsoft Word, Excel, Outlook, and database applications.

• Strong data entry and documentation management skills.

• Ability to manage multiple projects, priorities, deadlines, and interruptions in a fast-paced environment.

• Strong organizational, time management, and problem-solving skills.

• Ability to review, analyze, and verify detailed information accurately.

• Ability to work independently and collaboratively across departments and organizational levels.

• Ability to prepare professional correspondence, reports, and presentations.

• Knowledge of healthcare operations, provider enrollment, licensing, accreditation, and payer requirements preferred.

• Strong customer service and relationship-building skills.

Education

• Associate Degree preferred.

• Field of Study

• Healthcare Administration, Business Administration, Health Information Management, or a related field preferred.

Work Experience

• Five years of administrative experience in a role requiring strong organizational, communication, and documentation skills, including at least three years within a healthcare organization required.

• Previous physician credentialing experience required.

Licenses and Certifications

• Certified Provider Credentialing Specialist (CPCS preferred.

• Certified Professional Medical Staff Management (CPMSM preferred.

Additional Information

• N/A.

Physical Requirements: (Please click the link below to view work requirements

Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$39,353.60 - $73,197.70

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.