Coordinator - Credentialing and Enrollment

Job Summary

Manages processes and procedures which lead to the appointment and reappointment of the applicants and current appointees of the medical and dental staffs. Ensures the timely and accurate completion and submission of applications for physicians, dentists and mid-level providers, in accordance with the Bylaws.

• Processes and submits complete, timely and accurate applications to chief(s) of the appropriate department(s) for review and recommendation to the Facility Credentials Committees and communicates the status of credentialing applications to all constituents directly.
• Interprets and assists in implementing the standards of The Joint Commission.
• Prepares the maintenance documentation, as defined on the Delineation of Privileges Forms, for presentation to the Facility Credentials Committees at the time of reappointment.
• Processes requests and prepares correspondence to appointees regarding change of status, expansion of privileges (either an increase or a decrease), and resignations. Maintains and updates database accordingly.
• Serves as the first contact when communicating with hospital personnel regarding appointees clinical privileges and if they are allowed to go forward with cases, as scheduled.
• Prepares the appointees credentials files for audits.
• Maintains current licensure, certifications, malpractice insurance and any other applicable regulatory items at time of appointment and continuous maintenance going forward to ensure timeliness, accuracy and integrity of the credentialing and clinical privileging database system and compliance with the regulatory agencies.

Performs most work under normal office conditions. Work may require sitting for long periods of time, standing, walking, using repetitive wrist/arm motion frequently and lifting.

High School Diploma or GED required;
Bachelor's Degree preferred. Certification by National Association Medical Staff Services or Certified Provider Credentialing Specialists preferred. Previous experience as a Credentialing Coordinator preferred. Knowledge of The Joint Commission standards for hospitals and Behavioral Health Centers preferred.

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and short- and long-term disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program