Credentialing Coordinator (Verification of primary source exp preferred)

Company: Vanderbilt University Medical Center
Location: Montgomery
Posted on: March 17, 2023

Job Description:

Credentialing Coordinator (Verification of primary source exp preferred) - 2302206**Job** : Medical Coding and Billing**Primary Location** : Work from Home**Organization** : Provider Credentialing 20 200608**Shift:** : First Shift**Description****Credentialing Coordinator****JOB SUMMARY:**Completes timely and accurate credentialing of providers with minimal guidance. Ensures that credentialing records comply with requirements of regulatory and accrediting agencies including the National Committee for Quality Assurance (NCQA), federal and state laws and delegated credentialing agreements.**KEY RESPONSIBILITIES:**+ Ensures all individuals meet qualifications of NCQA Credentials Verification Organization (CVO) standards as well as other regulatory requirements and agreements.+ Works proactively to resolve issues before providers and/or patients are impacted.+ Performs primary source verification for applicants.+ Collaborates with personnel in other departments and organizations.+ Ensures appropriate documentation is maintained and that information is easily retrievable.+ The responsibilities listed are a general overview of the position and additional duties may be assigned.**TECHNICAL CAPABILITIES:**_DATA ENTRY (INTERMEDIATE):_ - The ability to transcribe information from the original source into an electronic system according to written and verbal instructions efficiently and accurately._ANALYTICAL SKILLS (INTERMEDIATE):_ - The process of identifying, evaluating, interpreting and organizing data. It includes sorting through data to identify patterns and establish relationships for decision making._DISCRETION & PRIVACY (INTERMEDIATE):_ - The ability to use and keep information confidential in a secure setting._CVO POLICIES AND PROCEDURES (NOVICE):_ - Knowledge, adherence and application of CVO policies and procedures.**CORE ACCOUNTABILITIES:**+ Organizational Impact: Performs non-routine tasks that significantly impact team's performance with minimal guidance.+ Problem Solving/ Complexity of work: Conducts research and analysis to solve some non-routine problems.+ Breadth of Knowledge: Applies broad job knowledge and has basic job skills in other areas.+ Team Interaction: Provides informal guidance and support to less experienced team members.**CORE CAPABILITIES:**SUPPORTING COLLEAGUES (S3):+ - Develops Self and Others: Continuously improves own skills by identifying development opportunities.+ - Builds and Maintains Relationships : Seeks to understand colleagues' priorities, working styles and develops relationships across areas.+ - Communicates Effectively: Openly shares information with others and communicates in a clear and courteous manner.DELIVERING EXCELLENT SERVICES (S3):+ - Serves Others with Compassion: Invests time to understand the problems, needs of others and how to provide excellent service.+ - Solves Complex Problems: Seeks to understand issues, solves routine problems, and raises proper concerns to supervisors in a timely manner.+ - Offers Meaningful Advice and Support: Listens carefully to understand the issues and provides accurate information and support.ENSURING HIGH QUALITY (S3):+ - Performs Excellent Work: Checks work quality before delivery and asks relevant questions to meet quality standards .+ - Ensures Continuous Improvement: Shows eagerness to learn new knowledge, technologies, tools or systems and displays willingness to go above and beyond.+ - Fulfills Safety and Regulatory Requirements: Demonstrates basic knowledge of conditions that affect safety and reports unsafe conditions to the appropriate person or department.MANAGING RESOURCES EFFECTIVELY (S3):+ - Demonstrates Accountability: Takes responsibility for completing assigned activities and thinks beyond standard approaches to provide high-quality work/service.+ - Stewards Organizational Resources: Displays understanding of how personal actions will impact departmental resources.+ - Makes Data Driven Decisions: Uses accurate information and good decision making to consistently achieve results on time and without error.FOSTERING INNOVATION (S3):+ - Generates New Ideas: Willingly proposes/accepts ideas or initiatives that will impact day-to-day operations by offering suggestions to enhance them.+ - Applies Technology: Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of action.+ - Adapts to Change: Embraces change by keeping an open mind to changing plans and incorporates change instructions into own area of work.**Basic Qualifications**High School Diploma or GED (or equivalent experience) and 3 years relevant experience**Licensure, Certification, and/or Registration (LCR):**+ **Physical Requirements/Strengths needed & Physical Demands:**+ Sedentary category requiring exertion up to 10 lbs. of force occasionally and uses negligible amounts of force to move objects. Sedentary work involves sitting most of the time. **Movement**+ Occasional: Standing: Remaining on one's feet without moving.+ Occasional: Walking: Moving about on foot.+ Occasional: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another+ Occasional: Carrying under 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.+ Occasional: Push/Pull: Exerting force to move objects away from or toward.+ Occasional: Reaching above shoulders: Extending arms in any direction above shoulders.+ Frequent: Sitting: Remaining in seated position+ Frequent: Reaching below shoulders: Extending arms in any direction below shoulders.+ Frequent: Fingering: Picking, pinching, gripping, working primarily with fingers requiring fine manipulation.+ Frequent: Bimanual Dexterity: Requiring the use of both hands. **Sensory**+ Continuous: Communication: Expressing or exchanging written/verbal/electronic information.+ Continuous: Auditory: Perceiving the variances of sounds, tones and pitches and able to focus on single source of auditory information+ Continuous: Vision: Clarity of near vision at 20 inches or less and far vision at 20 feet or more with depth perception, peripheral vision, color vision.+ Continuous: Smell: Ability to detect and identify odors. **Environmental Conditions**+ Occasional: Chemicals and Gasses: Medications, cleaning chemicals, oxygen, other medical gases used in work area.**Req ID:** 2302206Vanderbilt University Medical Center is committed to principles of equal opportunity and affirmative action.

Keywords: Vanderbilt University Medical Center, Montgomery , Credentialing Coordinator (Verification of primary source exp preferred), Other , Montgomery, Alabama