Medical Staff Credentialing Coordinator

Inova Center for Personalized Health is looking for a dedicated Medical Staff Credentialing Coordinator to join the team. This role is Full-time working Monday-Friday | Hybrid

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. 

Featured Benefits:

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.
• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules.

Medical Staff Credentialing Coordinator Job Responsibilities:

• Processes practitioner applications for initial appointments and/or reappointments. Communicates status of application to practitioners and all interested parties on a regular basis per policy.
• Manages, supports and maintains credentials files on all medical staff members and advanced practice providers. Consults and works with other hospital departments to coordinate process.
• Assures compliance with regulatory requirements and accrediting body standards, Bylaws and policies and maintains current knowledge. 
• Plays a proactive role in improving processes within the department for maximum efficiency by participating/leading process improvement activities. 
• Appropriately identifies, communicates and investigates extraordinary information, time gaps and potential discrepancies and adverse information, and independently investigates and validates information on applications, primary source verifications or other sources. 
• Manages, supports and maintains the Network Insurance Credentialing process for employed practitioners. 
• Completes audit updates on Network Insurance files.
• Obtains additional information for all Network Insurance applications with pending and closed lawsuits per policy. 
• Works to ensure applications are completed within the required timeframe to meet the appropriate Credentialing Committee Deadlines whenever possible. 
• Reviews Privilege request forms for accuracy and provides criteria as appropriate. Notifies practitioner that privilege will be withdrawn if criteria not received by deadline. 
• Complete evaluation of pre-application/application to determine applicant’s initial eligibility for membership.
• Maintain credentialing database continuously and consistently to ensure that accurate and current information is available to all stakeholders.
• Provides mentorship to credentials specialists. Assists with orientation of staff and provides direction to department resources.
• Provides assistance with questions and directs staff to appropriate resources to educate.
• May perform other duties as assigned.

 

Minimum Qualifications:

• Education: High School diploma or equivalent
• Experience: 2 years of experience in a healthcare setting or customer service

Preferred Requirements:

• At least 2 years of Medical Staff Credentialing experience (not payer credentialing)

We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 25,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare. 

Inova Health System is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.