Credentials Coordinator, Medical Affairs (MHS-Remote) Memorial Healthcare System
Responsible for primary source verification of all practitioners appointing and reappointing to the Medical Staff and Advanced Practice Provider Staff, including licensing, board certifications, proof of malpractice insurance, Quality, MCCM, EX, DMF and NPDB. Organize, maintain and verify all aspects of the credentialing process for practitioners, ensuring all legal and regulatory policies and procedures are being upheld. Verify competency through education, training, licensing and work experience. Present completed reappointment applications to the Credentialing Committee for review and approval. Assist practitioners with credentialing applications and questions regarding their status and membership. Receive and screen telephone calls. Use independent judgement to determine priority and sensitivity of inquiries and responses. Follow-up with practitioners and their delegates regarding application status via email correspondence and phone calls when necessary. Responsible for auditing completed files to ensure and reduce the possibility for any errors. Conduct credentialing and verification services for Memorial's affiliated hospitals. Assist and perform South Broward Hospital District Annual Delegate Audit and NCQA File Audits. Attend monthly Credentials Committee meetings with Management to assist in file presentation and help maintain a record of recommendations made by Committee members.