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Healthcare Credentialing Coordinator

Tridant Solutions, Inc
Kaneohe, HI
  • Expired: over a month ago. Applications are no longer accepted.
Job Description

Tridant Solutions is seeking a Healthcare Credentialing Coordinator to support our team in Kapolei HI

Tridant Solutions is a fast-growth and award-winning professional services firm that combines service excellence with operational responsiveness. We are looking for our next key team member who will be a valuable part of our leadership group as we continue to grow and build our organization. 

Tridant Solutions is a 2020 INC 5000 Awardee (3 years in a row), woman-owned small business and SBA 8(a) firm poised for continued growth. If work ethic, delivering results and challenge are meaningful to you, this is your firm. Review our website (www.tridantsolutions.com) to learn about the types of services we provide, our client base, and exciting programs. 

Job Duties:

Overall, the Credentialing Coordinator will be responsible for ensuring that all the Health Care Providers (HCPs) of the HIARNG meet the necessary credentialing and privileging requirements. You will assist, for example, Physicians, Physician Assistants, Nurse Practitioners, Nurses, Dentists, Directors of Psychological Health, and Behavioral Health Officers.

  • Privilege and credential approximately 40 military and non-military HCPs
  • Assess and review the qualifications of HCPs. 
  • Ensure HCP clinical competency (i.e. that the healthcare provider possesses the required education, training, and experience to practice in the state in which they are providing services)
  • Ensure that HCPs maintain regulatory compliance in their scope of practice (i.e. ensure that the services they are providing comply with the regulations specific to their profession which determine what services may be provided under what conditions).
  • Validate that HCPs at the HIARNG are authorized to provide specific health care services. 
  • Assist HCPs with preparing for the Credentials and Privileging Certification Board.
  • Maintain all aspects of the HCPs credentials record and ensure all information is always up to date.
  • Update HCPs credential files with information verifying their reported credentials and qualifications from the original organization that issued the document or credential (i.e. Prime Source Verification (PSV)).
  • Ensure the accurate completion of all PSVs and upload all documentation required by the PSVs into the Joint Centralized Credentials Quality Assurance System (JCCQA).
  • Monitor and manage credentialing/re-credentialing requirements and ensure the collected, required renewal certifications are on file within the required time frame. Provide consistent and timely follow-up on all outstanding credentialing/re-credentialing files.
  • Notify providers and the HIARNG Credentialing Officer of missing or incomplete required documents. Collect said documents, perform PSV, update the provider’s record, and upload the documents.
  • Notify leadership when an issue with a provider’s license, education, or other form of required qualification is noticed while checking on a provider’s credentials. This may require additional investigation into the issue. 
  • Provide adverse action support to all HIARNG Military and non-military HCPs. This includes, but is not limited to:
    • Preparing adverse action documentation
    • Sending the notice of ‘adverse action’ against the HCP to the HCP, informing them of any action taken against the practitioner’s clinical privileges or medical staff membership in a health care organization, any licensure disciplinary action, Medicare/Medicaid Exclusion action, or any other adjudicated action.   
  • Assist HCPs with preparing and sending inter-facility credentials transfer briefs (ICTBs), which is the electronic transferring of a provider’s credential file (PCF) to the facility that has requested such documentation. Record, process, manage, and initiate the HIARNG ICTBs. Provide ICTB support to all HIARNG Military and non-military HCPS and program end-users
  • Any other duties as required

Location and Hours: 

Kapolei, HI 

0730 – 1630, Monday – Friday, every weekday excluding holidays.

Services may occasionally be required evenings or weekends. If employee is required to work evenings or weekends, we will flex employee hours.

Education and Experience Requirements:

Education: 

High School diploma required

Prefer candidates with an Associates degree (AA/AS)

Experience:

At least 2 years of experience working with Healthcare providers

Knowledge of medical credentialing and privileging procedures and standards

PC proficiency, specifically Microsoft Word and Excel

Must consent to a security background check prior to employment. Applicant must agree to agree to a criminal background check and drug testing.

Must be able to read, write, and speak English fluently.

BENEFITS AND COMPENSATION:

  • Salary DOE
  • Medical, Dental, Vision, Prescriptions, life, accidental death & dismemberment, and long-term disability insurance.
  • Access to Employee Assistance Programs (EAPs).
  • 401K + 3% matching.
  • Educational and training reimbursement eligible.
  • Vacation (2 weeks/year, accruing from first day), paid federal holidays.
  • Opportunities for volunteer and community service projects, company team events, and holiday parties.
  • Employment contingent upon successful background check and drug screen.

Tridant Solutions is an equal opportunity employer for all employees and applicants; we prohibit discrimination and harassment of any type on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

 

We celebrate diversity and are committed to creating an inclusive environment where differences are valued and respected for the benefit of our team, our services, and our diverse communities. Part of our mission is to be an equal opportunity workplace and an affirmative action employer. Women, minorities, individuals with disabilities, veterans, and intersectional individuals are encouraged to apply.



Tridant Solutions, Inc

Address

Kaneohe, HI
96744 USA

Industry

Healthcare

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