Credentialing Coordinator

LocumTenens.com
tuition reimbursement, 401(k)
United States, Georgia, Alpharetta
2655 Northwinds Pkwy (Show on map)
May 27, 2025
Overview LocumTenens.com has been leading the way in a booming healthcare industry since 1995. Locum Tenens is a Latin phrase meaning, "to substitute for." When hospitals are understaffed, they rely on us to find them the right temporary physicians to fill in when needed. Every associate at LocumTenens.com plays a role in getting patients seen, no matter what they studied in school or what their role is here. Located in Alpharetta, GA, we boast a state-of-the-art campus featuring world-class amenities. There's nothing ordinary about a typical day here, take a look for yourself: https://share.vidyard.com/watch/VfMVtWsvT1pn4T6nvUZxn1. We are a Jackson Healthcare company and we are now the second largest healthcare staffing company in the U.S., serving more than 7 million patients in over 1,400 healthcare facilities. The Credentialing Coordinator researches and reviews the professional qualifications of clinicians to practice medicine in their field, ensures files are processed according to NCQA and LT standards, and assesses risk. This role is accountable for the initial and renewal credentialing of clinicians as assigned. The Credentialing Coordinator enters clinician information in the database and processes documents as needed. This role performs special projects as assigned.Process Credentialing Requests - 75% Processes credentialing files; assists with any outstanding items to complete the process Performs all documentation tasks on a credentialing file Updates database for every file with the most current information; maintains document database Resolves or appropriately escalates inquiries and concerns Proactively communicates information and updates to Production, CVO partners, and Management Research, Gather, and Analyze Data for Risk Assessment - 25% Performs 90% of the risk assessment process by researching and analyzing the professional qualifications of assigned clinician - includes evaluating CV's and clinician narratives and researching malpractice cases, license sanctions and revocations, work history gaps, discrepancies, terminations, de-privileging, etc. Runs and analyzes Primary Source Verification to identify risk Presents findings to the JH Risk Management department for risk assessment and recommendation Keeps Management informed of risk uncovered during discovery phaseSECONDARY FUNCTIONS (IF APPLICABLE) May work on special projects or other duties as assigned SUPERVISORY/BUDGETARY/EXTERNAL COMMUNICATION RESPONSIBILITY May communicate with clinicians, clients, and state boards QUALIFICATIONS - EDUCATION, WORK EXPERIENCE, CERTIFICATIONS High School Diploma or equivalent required; Bachelor's degree preferred 1+ year of related experience preferred KNOWLEDGE, SKILLS, AND ABILITIES Ability to adhere to and exhibit the Company Values at all times Working knowledge of Microsoft Word, Excel, PowerPoint, Outlook, and Teams Working knowledge of PDF editing software Working knowledge of Salesforce Ability to build relationships at all levels - internally and externally Strong customer service mindset Strong organizational and time management skills Ability to work independently Strong communication skills - both oral and written Ability to work with sensitive information and maintain confidentiality Solid critical thinking and problem-solving skills Strong attention to detail and accuracy KEY COMPETENCIES REQUIRED Customer Focus Communicates Effectively Action Oriented Demonstrates Self-Awareness Resourcefulness Self-Development Builds Networks Situational Adaptability Values Differences PHYSICAL, MENTAL, WORKING CONDITION, AND TRAVEL REQUIREMENTS Typical office environment - sedentary with typing, writing, reading requirements May be able to sit or stand Speaking, reading, writing, ability to use a telephone and computer Ability to exert up to 10 lbs. of force occasionally Ability to interpret various instructions Ability to deal with a variety of variables under only limited standardization What is in it for you Company-paid benets (Basic Life and AD&D, Short and Long-Term Disability, Employee Assistance Program, Compass Health Advocate and Transitions). Healthcare benet options (Value Plan, High Deductible Plan with HSA, Healthcare FSA, Dependent Care FSA, Prepaid Legal Services, 529 Savings Plan, Pet Insurance). Paid maternity and paternity leave. Company sponsored 401k plan with company matching. PTO that accrues at a rate of 15 days/year for 1st year and continues to increase with tenure. Tuition reimbursement for continuing education. An opportunity to work at a state-of-the-art facility in Alpharetta which features an on-site daycare and cafeteria, world-class fitness center and wellness clinic. DISCLOSURES SMOKING: Smoking/vaping and the use of tobacco products are prohibited on all Company premises, including indoor and outdoor areas, parking lots, and Company-owned vehicles. DRUG TESTING: As part of our employment process, candidates who receive a conditional offer may be required to undergo pre-employment drug testing. EEO Statement Requirements: The Company is an Equal Opportunity Employer and does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected status.