The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Introduction

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Credentialing Coordinator today with Presbyterian/St. Luke's Medical Center.

Benefits

Presbyterian/St. Luke's Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Come join our team as a(an) Credentialing Coordinator. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!

Job Summary and Qualifications

DUTIES INCLUDE BUT ARE NOT LIMITED TO:

• Meeting preparation/minutes
  
• Provider Badging
  
• Physician Call Schedule
  
• Deposit of Staff Dues
  
• Application and HealthONE Addendum Application
  
• Privileges
  
• Primary Source Verifications (education, training, affiliations, work history, peer references, certifications, licensure, DEA, gaps in time, NPDB, background, etc.)
  
• Dynamic credentials (insurance, etc.)
  
• CME/CEUs
  
• HealthStream Courses
  
• Life Support Certifications
  
• Immunizations (i.e., PPD, flu)
  
• Case logs/activity
  
• CV/Resume
  
• Supporting documents (i.e., Authorization/Attestation/Release, Confidentiality and Security Agreement, Practitioner Acknowledgement, Pharmacy Signature, etc.)
  
• Market forms (HIM electronic signature/edit, MRSA, HealthONE Medical Staff Code of Conduct, Physician Referral Services, APP orientation acknowledgement form, Medical Necessity/Reflex Testing, etc.)
  
• Red/Yellow flags
  
• CPHP and/or CPEP reports, if required.
  
• Aging Provider Assessment for providers 70 and older
  
• Build new providers and update existing providers in the Meditech Provider Dictionary for RFCs/RRFCs
• Build new providers in eSAF and HealthStream/Physician Learning Center
• Pull case logs/activity reports, if needed
  
• Complete data entry in the Cactus database (i.e., as it relates to the Physician Referral Services Form, Health record, etc.)
• Submit Provider Action Forms as necessary for demographic changes, etc.
• Review all information received and verify completeness and accuracy on content in accordance with policies and procedures.
• Communicate with applicants or their practices and HealthONE facilities regarding many facets of credentialing.
• Transmit documents to the CPC, Alchemy, and HealthONE based on policy and procedures.
• Comply with company and department policies/procedures.
• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement.”
• Other duties as assigned.

KNOWLEDGE, SKILLS & ABILITIES:

• Maintain working knowledge medical staff credentialing and regulatory requirements.
  
• Good working knowledge of general/basic office skills, including computer skills, typing skills, filing, business communications including grammar and spelling skills, basic mathematical calculations, etc.
  
• Ability to organize and prioritize efficiently and effectively.
  
• Ability to maintain confidentiality of privileged information gained as a result of job functions.

• Strong interpersonal skills.
• Excellent teamwork skills.
• Adept at relationship building.
• Understand the issues related to credentialing.
• Ability to adapt to changing company and departmental needs.
• Proficient in Microsoft Office applications, Internet searches, and relevant data bases.
• Ability to work independently and under pressure to follow through on issues.
  

• Ability to communicate ideas clearly and concisely, in an effective and appropriate manner, both verbally and in writing, with all levels of customers.
• Ability to establish and maintain long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
• Ability to work effectively with colleagues, customers, including Medical Staff leaders.
• High degree of accuracy, timeliness, and attention to detail.

EDUCATION

• Meet basic reading, writing, and comprehension requirements.

EXPERIENCE

• Minimum of 1 year office/clerical work experience required, professional credentialing experience in a healthcare facility, managed care setting, credentials verification organization, or Medical Staff Office preferred.

CERTIFICATE/LICENSE – Certified Provider Credentialing Specialist preferred.

This role requires you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations (unless a medical or religious exemption is approved).

Presbyterian/St. Luke’s Medical Center offers over 80 specialties in our 680 plus bed hospital that serves the Uptown neighborhood of Denver, Colorado. PSL is an affiliate of HealthONE hospitals, the largest healthcare system in metro Denver. Our Women’s Services department is proud to be in the top 5% in the nation for our Labor and Delivery and OB/GYN specialties. Along with our affiliation with Rocky Mountain Hospital for Children, PSL provides the largest neonatal intensive care unit (NICU) in the Denver region.

We provide labor and delivery services, award-winning emergency care, vital health screenings such as mammograms, cardiovascular care, cancer care, orthopedic care, robotic surgery, advanced wound care and hyperbaric treatments, and of course, hospital care. We are proud to serve our community with over 1,000 specialists and experienced physicians who offer a wide range of medical services for patients of all ages.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Credentialing Coordinator opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.