About this role
About Us
At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.
Discover why Cooper University Health Care is the employer of choice in South Jersey.
Short Description
Assist Credentialing Manager with the process of credentialing and re-credentialing applications for medical providers overseeing investigation and documentation of practitioner credentials and privileges and utilizing specialized knowledge to obtain verification of all aspects of practitioners’ background, training and past practice.
Plans, supervises and coordinates work activities of Credentialing Assistants, which includes monitoring expiring documents work product ensuring that organization is compliant with Medical Staff Bylaws and regulatory agencies.
Assists Credentialing Manager with training of new and established employees to enhance skills and knowledge of credentialing processes and use of the credentialing database.
Ensure that applications are properly verified and accurately uploaded into an online credentialing database system.
Assists Credentialing Manager with initial and reappointment application processes.
Manages urgent/emergency applications as assigned by Manager which require completion outside of the normal processing time.
Assists Credentialing Manager with training of new and established employees to enhance skills and knowledge of credentialing processes and use of the credentialing database.
Plans, supervises and coordinates work activities of Credentialing Assistants, which includes monitoring expiring documents work product ensuring that organization is compliant with Medical Staff Bylaws and regulatory agencies.
Evaluates performance and motivates employees to achieve peak productivity and performance. Supports the Credentialing Manager with preparation of and distribution of standing reports and ad hoc report requests from the Credentialing Database.
Supports the Credentialing Manager with the Credentials Committee meetings to manage and present applicant files, preparation of agenda and packet, minutes and appropriate follow-up – specific to credentialing activities (initial applications, reappointments, increase in privileges, confirmation of appointment, etc.).
In Credentialing Manager’s absence, assigns newly received initial applications to Credentialing Specialist.
Sends, receives and reviews initial applications for completeness, conducting primary source verification of licensure, education, post-graduate clinical training, board certification, disciplinary actions and other professional sanctions, malpractice history, and peer assessment of current competence.
Identifies issues that require addition investigation and/or follow-up.
Interacts with Division Head/Department Chief regarding red flags identified.
Coordinates reappointment process, including but not limited to verifying all relevant information via primary source; reviewing and analyzing potential issues; and preparing files for routing to the appropriate medical staff leaders, committees and governing body.
Ensures documentation is in full compliance with Medical Staff Bylaws and accrediting agencies standards (TJC, NCQA, CMS, etc.)
Privileging – collects required documentation from applicants, analyzes, and ensures that documentation meets established criteria as delineated on the Privilege Delineation Form.
Participates in departmental performance improvement and core process activities.
Assists in the development of workflow process/procedures to ensure that all credentialing and accreditation processes are completed in accordance with relevant regulation, policies, and standards.
Experience Required
0-2 year experience in credentialing within a healthcare setting.
Education Requirements
ASSOCIATES DEGREE REQUIRED
Bachelors Preferred
License/Certification Requirements
Preferred Certified Provider Credentialing Specialist or Certified Professional Medical Services Management-Obtain within 7 years of employment.
Salary Min ($)
USD $29.00Salary Max ($)
USD $50.00Other facts
About Cooper University Hospital
Cooper University Health Care is the leading academic health system in South Jersey and provides access to primary, specialty, tertiary, and urgent care, all within one complete health system. Cooper has nearly 14,000 team members including 1,600 nurses, more than 1,000 employed physicians representing 95 specialties and subspecialties, and more than 600 advanced practice professionals. Hospitals throughout the region send their most complex and critically ill and injured to Cooper for treatment by our highly skilled experts.
Ranked year after year by U.S. News & World Report as one of the top health systems in the Philadelphia Metro area, Cooper is consistently recognized for its quality, safety, and exceptional patient care.
Cooper has three hospitals: South Jersey’s only Level I trauma center, Cooper University Hospital in Camden, which is the busiest trauma center in the Philadelphia region; Cooper University Hospital Cape Regional in Cape May Court House, and Children’s Regional Hospital at Cooper, which is the only Level II pediatric trauma center in the Delaware Valley. Cooper is also home to a leading cancer center (MD Anderson Cancer Center at Cooper), six urgent care centers, and more than 130 outpatient offices from the Delaware River to the Jersey Shore, including large regional hubs in Camden, Cherry Hill, Moorestown, Voorhees, Willingboro, and Sewell.
Cooper University Health Care is affiliated with – and its physicians make up the faculty of – Cooper Medical School of Rowan University, which is located on the Cooper Health Sciences Campus in Camden, New Jersey. Cooper has a long history in the City of Camden and is playing a leading role in its revitalization.
What you'll do
- Assist the Credentialing Manager with the credentialing and re-credentialing processes for medical providers, ensuring compliance with regulations. Supervise Credentialing Assistants and manage urgent applications while maintaining accurate documentation in the credentialing database.
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