Credentialing Coordinator

Job Overview

Fairview Range is hiring a Credentialing Coordinator for our Medical Staffing Department in Hibbing, MN.

As a Credentialing Coordinator you will be responsible for the coordination and management of the medical staff credentialing and privileging process for the entire medical staff. This position is responsible for ensuring all credentialing and privileging efforts are in compliance with licensing and regulatory agencies. In addition, this position serves as the administrative support resource for the Ragne Regional Health Services Medical Staff and Medical Staff Executive Committee.

The Credentialing Coordinator is the resource for coordination of medical service committees and on-going Medical Education. This position requires a thorough knowledge and understanding of the Bylaws, Rules and Regulations.

Compliance are met.

Schedule: This position will work 80 hours per two weeks. The shift length will be 8‑hours on the day shift. No weekends.

Fairview Range is an affiliate of M Health Fairview, a partnership of Fairview Health Services, the University of Minnesota, and M Physicians. Together, we offer access to breakthrough medical research and specialty expertise as part of a continuum of care that reaches all ages and health needs. The most comprehensive health care network in northeastern Minnesota, Fairview Range includes Fairview Range Medical Center, Fairview Mesaba Clinics (with locations in Hibbing, Nashwauk, and Mountain Iron), Fairview Range Home Care and Hospice, and Fairview Transportation Services.

Are you interested in joining our incredible team? Seize the opportunity by applying today!

Apply today to join our 34,000+ employees and 5,000+ system providers working to build lasting relationships with the people we serve: our patients, our communities, and each other.

• Functions as the credentialing coordinator for Range Regional Health Services and responsible for the processing of provider applications according to medical staff policies and procedures, bylaws and JC standards.
• Responsible for maintenance and accuracy of provider information in the credentialing database, and maintenance of the practitioner privilege book.
• Maintains current and accurate credentialing files for each practitioner.
• Manages confidential research required for credentialing of new appointees applying to the medical or allied health staff; coordinates completion of the credentialing process; collates and assesses information gathered for the initial evaluation for privileges and membership.
• Coordinates processing of applications for medical staff appointment to include primary source verification of all pertinent information in compliance with acceptable standards for processing application in compliance with the medical staff bylaws, Minnesota state law and the JC standards. Prepares credentialing reports for Medical Staff Executive Committee and Board of Directors.
• Manages confidential research required for continuous recredentialing/reappointment by processing information according to the medical staff bylaws; coordinates completion of the reappointment profile; collates and assesses information gathered for the reappointment evaluation.
• Coordinates all requests for temporary privileges in accordance with medical staff bylaws and JC standards.
• Responsible for the payer enrollment for all new providers. Completes all payer reappointments and makes sure they are submitted on a timely basis. Works with the Business Office on all credentialing questions and denials from payers. Maintains external payer credentialing databases.
• Serve as the administrative support for the physician leadership of the organization.
• Coordinates credentials file reviews with appropriate Chairs of Committees in a timely manner.
• Coordinates, attends, records and transcribes minutes for Medical Staff Executive Committee meetings in a timely and accurate manner and does follow‑up work as indicated.
• Completes special assignments as requested by the medical staff leadership or administration.
• Develop and distribute medical staff and service committee calendar.
• Responds to…