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CREDENTIALING COORDINATOR

Methodist Health System

DMPN Management

Full-time

Day

8 - 5

Methodist Health System
1441 N Beckley Avenue Dallas, TX 75203

Your Job:

The Credentialing Coordinator Utilizes knowledge of credentialing/re-credentialing principles, NCQA Standards, legal principles of credentialing, credentialing and managed care terminology, and management of credentialing information in the review of practitioners credentialing/re-credentialing applications. Utilizes computer and data organizational skills to support the credentialing functions of DMPN and to populate and maintain the DMPN credentialing. Responsible for data integrity, accuracy, and consistency of practitioners' information in DMPN's database.

Your Job Requirements:
  • Some college or college degree preferred but not required.
  • Certified Provider Credentialing Specialist (CPCS) or Certified Medical Staff Coordinator (CMSC) preferred but not required.
  • Experience in using Windows and various software applications including databases, Excel spreadsheets, and graphics.
  • Intermediate to advanced level of proficiency in computer skills using Microsoft Office. 
  • Experience in scanning documents into a personal computer. Multitasking skills. 
  • Work Experience: 3-4 years experience
Your Job Responsibilities:
  • Responsible for tracking and obtaining current expirables for practitioners.
  • Responsible for Medicare and Medicaid enrollment for employed practitioners.
  • Demonstrates knowledge of DMPN's Credentialing Plan and Guidelines; ongoing monitoring; credentialing standards for NCQA and TDI including Texas Administrative Codes pertaining to credentialing.
  • Inputs credentialing data and maintains the accuracy and completeness of the fields in the DMPN database.
  • Responsible for gathering DMPN credentialing/recredentialing documents and information; performs primary verification of credentialing information; reviews and analyzes the documentation for completeness and consistency; follows up on applications that are incomplete. Prepares completed files for review and approval by the DMPN Credentialing Committee and/or Chairman.
  • Responsible for setting up electronic credentialing file for each practitioner and scanning and/or filing hard copies of credentialing documents into practitioners electronic or hard copy files.
  • Responsible for completing and maintaining accurate and current information in employed practitioners' CAQH profiles.

Dallas-based Methodist Health System has been recognized by Modern Healthcare as one of the fastest-growing health systems in the U.S. Over the past decade, our nonprofit health system has tripled in size. Ten hospitals proudly carry the Methodist name as part of Methodist Health System or through joint-venture affiliations. Soon our 11th hospital will open in Midlothian. Our wholly owned, full-service facilities and physician organization include Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers; Methodist Campus for Continuing Care; and Methodist Medical Group, the physician organization affiliated with Methodist Health System. We're proud to be the first member of the Mayo Clinic Care Network in Texas, where we collaborate with a national leader in healthcare to improve the delivery of care through shared medical knowledge and research. Professionals thrive at Methodist, which is why we've earned:

  • A Best Place to Work 15 years running by the Dallas Business Journal
  • 150 Great Places to Work in Healthcare by Becker's Hospital Review eight years in a row.
  • In 2018, ranked No. 2 Top Hospitals and Health Systems in America by DiversityInc.
  • Methodist Health System believes its greatest asset is the team members in our organization that values and encourages diversity and inclusion in all aspects of our organization. These are our guiding principles:

    Mission:

    To improve and save lives through compassionate quality health care.

    Vision for the Future

    To be the trusted provider of integrated quality health care in North Texas.

    Core Values

    Methodist Health System core values reflect our historic commitment to Christian concepts of life and learning:


    Servant Heart - compassionately putting others first
    Hospitality - offering a welcoming and caring environment
    Innovation - courageous creativity and commitment to quality
    Noble - unwavering honesty and integrity
    Enthusiasm - celebration of individual and team accomplishment
    Skillful - dedicated to learning and excellence

    We know that employees who are happy, healthy, and fulfilled take better care of patients. We also know that caring for our employees as individuals makes us a better organization. Our benefits include:

    • Medical plan choices
    • Pharmacy coverage
    • Dental and vision plans
    • AD&D insurance
    • Employee assistance program
    • Flexible spending account
    • Paid time off
    • Extended illness benefits
    • Wellness program
    • Weight management, tobacco cessation, and prenatal programs
    • Basic and volunteer life insurance
    • Short-term and long-term disability
    • Retirement plans with matched contributions
    • Leave of absence
    • Tuition reimbursement
    • Adoption assistance
    • Employee discounts
    • And more.