Coordinator Credentialing CVO - Staff Credentialing

Company: Christus Health
Location: Texarkana
Posted on: May 6, 2025

Job Description:

Description
Summary:

Responsible for coordinating, monitoring, and maintaining the credentialing and re-credentialing process within the CVO. Ensures interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing. Responsible for the accuracy and integrity and developing a credentialing database.



Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  
• Coordinates and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility.
  
• Conducts thorough investigation, research, and primary source verification of all components of the application file.
  
• Identifies issues that require additional investigation and evaluation, validates discrepancies, and ensures appropriate follow-up.
  
• Reviews necessary documentation and verifications prior to submittal to clients, ensuring turnaround time and quality of data is within required metrics.
  
• Responds to inquiries from other healthcare organizations, interfaces with internal/ external customers on day-to-day credentialing/privileging issues as they arise.
  
• Meets weekly performance metrics which includes: file completion, quality, and turnaround time.
  
• Utilizes and maintains the credentialing database, optimizing efficiency, and performs queries, reports, and document generation.
  
• Maintains strict confidentiality of all data and information.
  
• Performs miscellaneous job-related duties as assigned.
  
  
  
  Job Requirements:
  
  Education/Skills
  
  
  • Bachelor's Degree or equivalent job-related experience
    
    Experience
    
    
    • Minimum of at least 3 years of experience related to hospital or managed care credentialing.
      
      Licenses, Registrations, or Certifications
      
      
      • Certified Provider Credentialing Specialist (CPCS) preferred -
        
        Work Type:
        
        Full Time

Keywords: Christus Health, Tyler , Coordinator Credentialing CVO - Staff Credentialing, Other , Texarkana, Texas