Credentialing Coordinator

Provider Support Service Coordinator

At Ortho Carolina, our team is our greatest asset and the foundation of our success. We are a diverse group of individuals, accountable to each other to uphold the standards of excellence and promote an environment of teamwork throughout the organization. Ortho Carolina has 43 unique care locations with over 1300 professionals who share a common goal to make lives better.

Our employees are eligible for a full spectrum of benefits including paid company holidays, wellness programs, and tuition reimbursement.

The Provider Support Service Coordinator ensures all applications for initial appointment, reappointments and privileges of medical providers (physicians, physician assistants, therapists, organization, clinics, DME, etc.) for appropriate hospitals, managed care organizations and malpractice insurance coverage are completed and processed in a timely manner. This position also maintains licensure (including medical license, DEA and privilege license) for physicians, physician assistants and clinics and current documentation on medical providers for hospitals and participating managed care organizations.

• Coordinates credentialing/re‑credentialing process by maintaining communication and assistance with other Ortho Carolina employees, hospital medical staff departments, representatives from managed care organizations and malpractice underwriter by gathering appropriate credentialing and re‑credentialing information such as signatures and documents.
• Maintains current credentialing files of medical providers to include state licensure, DEA, certificate of insurance, board certification and CME’s.
• Notifies Business Office representative of participation, terminations and changes for managed care database maintained. Maintains a current confidential database of physicians and physician assistants state licensure and DEA’s located on S: drive for clinical and triage staff use only.
• Renews state license and DEA for physicians, fellows and physician assistants. Maintains an Excel spreadsheet for tracking renewal dates.
• Assists new physicians and physician assistants in scheduling hospital orientations and interviews necessary to obtain hospital privileges.
• Renews North Carolina Department of Revenue Privilege License for all physician’s and fellows, annually.
• Responsible for written notification to hospitals, managed care organizations and malpractice carrier of all provider, clinic, and organization changes/terminations.

• Associate of Arts or Science degree; or Medical Secretarial certification.
• Two years of medical office management experience preferably with credentialing for managed care and hospital privileges.
• One to two years’ experience in a medical office or hospital environment.

Employee Type:
Regular

Skills:

Credentialing, Office Administration

Education:

High School – Health Administration (Required)

Certifications:

CPCS–NAMSS

Work Experience:

Healthcare Experience