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Credentialing Coordinator Job
Job Number: LCS17748
Job Title: Credentialing Coordinator
Department: Credentialing - 0014685
Facility: Corporate Headquarters
Location: Providence, RI
Associates Degree in Health Services or related field preferred or equivalent combination of education and experience.
Minimum of three year’s relevant experience working in a Hospital, physician office or multi-entity credentialing environment. Successful experience demonstrating the use of interpersonal skills necessary to communicate and gather information from all levels of personnel and the ability to handle highly confidential data in a secure and trustworthy manner. Knowledge of credentialing principles for Hospitals/provider networks/payers. Intermediate computer skills, credentialing software and information systems knowledge; ability to generate management and production reports, documents and correspondence independently. Current knowledge of Joint Commission requirements, state regulations and credentialing processes. Continuing education in federal and regulatory education related to credentialing as required. Current knowledge of NCQA and Medicare credentialing standards and other regulatory requirements.
The Hospital Credentialing Coordinator reports to the Credentialing Manager Patient Financial Services. Under general supervision and within Lifespan policies and procedures performs credentialing and/or re-credentialing of hospital-employed physicians and other ancillary providers for Lifespan facilities.