**Hours of Work :** As needed **Days Of Week :** Sun-Sat **Work Shift :** **Job Description :** Your Job: The Credentialing Coordinator Utilizes knowledge of credentialing/re-credentialing principles, NCQA Standards, legal principles of credentialing, credentialing and managed care terminology, and management of credentialing information in the review of practitioners credentialing/re-credentialing applications. Utilizes computer and data organizational skills to support the credentialing functions of DMPN and to populate and maintain the DMPN credentialing. Responsible for data integrity, accuracy, and consistency of practitioners' information in DMPN's database. Your Job Requirements: • Some college or college degree preferred but not required. • Certified Provider Credentialing Specialist (CPCS) or Certified Medical Staff Coordinator (CMSC) preferred but not required. • Experience in using Windows and various software applications including databases, Excel spreadsheets, and graphics. • Intermediate to advanced level of proficiency in computer skills using Microsoft Office. • Experience in scanning documents into a personal computer. Multitasking skills. • Work Experience: 3-4 years experience Your Job Responsibilities: • Responsible for tracking and obtaining current expiable for practitioners. • Responsible for Medicare and Medicaid enrollment for employed practitioners. • Demonstrates knowledge of DMPN's Credentialing Plan and Guidelines; ongoing monitoring; credentialing standards for NCQA and TDI including Texas Administrative Codes pertaining to credentialing. • Inputs credentialing data and maintains the accuracy and completeness of the fields in the DMPN database. • Responsible for gathering DMPN credentialing/recredentialing documents and information; performs primary verification of credentialing information; reviews and analyzes the documentation for completeness and consistency; follows up on applications that are incomplete. Prepares completed files for review and approval by the DMPN Credentialing Committee and/or Chairman. • Responsible for setting up electronic credentialing file for each practitioner and scanning and/or filing hard copies of credentialing documents into practitioners electronic or hard copy files. • Responsible for completing and maintaining accurate and current information in employed practitioners' CAQH profiles. Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by _Modern Healthcare_ , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned: + Magnet® designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers + 150 Top Places to Work in Healthcare by _Becker’s Hospital Review_ , 2023 + Top 10 Military Friendly® Employer, Gold Designation, 2023 + Top 10 Military Spouse Friendly® Employer, 2023 Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by _Modern Healthcare_ , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned: + Magnet® designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers + 150 Top Places to Work in Healthcare by _Becker’s Hospital Review_ , 2023 + Top 10 Military Friendly® Employer, Gold Designation, 2023 + Top 10 Military Spouse Friendly® Employer, 2023 Equal Opportunity Employer It is the policy of Methodist Health System (MHS) to select, develop, and promote employees based on individual ability and job performance. It has been, and will continue to be, the policy of MHS to provide equal employment opportunity to all people in all aspects of employer-employee relations without discrimination because of race, color, religion, national origin, age, sex, sexual orientation, gender expression, disability, marital status, genetic information or ancestry. This policy affects decisions including, but not limited to, an employee’s compensation, benefits, terms and conditions of employment, opportunities for promotion, training, development, transfer all other privileges of employment. MHS is committed to maintain a working environment free of intimidation, workplace discrimination and harassment. Retaliation or attempted retaliatory behavior that occurs as a result of an employee’s exercise of their rights under this policy or any other statutorily protected right is strictly prohibited and will be grounds for disciplinary action.