Credentialing Coordinator

Consolidated Pathology Nashville is Hiring a Credentialing Coordinator

No Weekends, no call, no Holiday!

Welcome to Consolidated Pathology Nashville! Our Pathology Services operate preeminent, state of the art, anatomic pathology laboratories featuring highly specialized board-certified pathologists. We are genuinely committed to optimal patient care, focusing on remarkable quality, open communication and exceptional support to our clients.

Our mission is to be the Laboratory of choice for the clients we serve and for the people we employ

Credentialing Coordinator at Consolidated Pathology Nashville

Working as a Credentialing Specialist, you'll work closely with our laboratory teams to ensure the credentials of medical professionals are exemplary. Credentials may include but are not limited to: educational background, licenses, fellowships, certifications and work experience By verifying and auditing credentials, you'll be part of a team devoted to upholding standards of excellence and providing the highest level of care to our patients.

Credentialing Specialist Responsibilities & Duties

• Manage the credentialing process for pathologists.
• Verify the accuracy and completeness of provider applications, ensuring that all required documents are submitted.
• Conduct thorough background checks, license verifications, and references to ensure compliance with regulatory standards for each state that our client ASCs are located in.
• Coordinate with Laboratory Director and external agencies to obtain and update relevant provider information.
• Maintain accurate and up-to-date electronic and hard copy files of all credentialing documentation and making it available as needed.
• Communicate with providers to address any discrepancies or missing information.
• Monitor expiring licenses and credentials, proactively initiating the renewal process to avoid any disruption in services.
• Stay up-to-date with industry regulations and requirements, ensuring compliance at all times.
• Assist in preparing for and participating in audits and regulatory reviews.
• Provide support and guidance to internal staff regarding credentialing and privileging processes.

Credentialing Specialist Qualifications & Skills

• Bachelor's degree in healthcare administration, business, or related field
• Certified Provider Credentialing Specialist (CPCS) designation
• Experience with credentialing in a medical or healthcare setting
• Knowledge of relevant federal and state regulations
• Strong communication and interpersonal skills
• Bachelor's degree in healthcare administration, business, or a related field.
• Minimum of 2 years of experience in credentialing or provider enrollment.
• Strong knowledge of industry regulations, such as the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC) standards.
• Proficient in using credentialing software and databases for data entry and maintenance.

What We Offer
As an organization, one way we care for our communities and each other is by providing a comprehensive benefits package that includes:

• Medical, dental, vision, and prescription coverage
• Life and AD&D coverage
• Availability of short- and long-term disability
• Flexible financial benefits including FSAs and HSAs
• 401(k) and access to retirement planning
• Paid holidays and vacation

Who We Are
At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

#LI-SB1

#USP-123