Strength Through Diversity
Ground breaking science. Advancing medicine. Healing made personal.
Medical Staff Services Req # 84068
Credentials Coordinator II
The Credentials Coordinator II position is responsible for verifying the identity and qualifications of Medical Staff and Allied Health Professionals to ensure each practitioner meets the requirements of the credentialing process and policies of the Mount Sinai Health System hospitals. The coordinator analyzes, and evaluates the business needs and serves as the liaison between the provider, business/department, quality, Human Resources, Risk Management and operations teams. Collaborates with administrative leadership and the clinical community to provide status updates and feedback for the approval of credential and privileges. Acts as the internal expert of Health System credentialing policies and procedures, and is responsible for knowing what changes have been made to the process.
Responsibilities include participation in the management of credentialing goals, timelines and objectives; supervision of provider files; assisting with defining measurable and actionable metrics; supervision of objectives within the credentialing platform, development of relationships including interactions with departments, administration, clinical leadership and physicians.
Roles & Responsibilities:
- Responsible for all aspects of the credentialing and/or re-credentialing process for the Medical Staff and Allied Health Professionals, including:
- Organizing and reviewing applications for completeness and accuracy.
- Performing verifications of education, training, experience, certifications and boards. Ensures requests for privileges are in compliance with criteria outlined in the department’s delineation of privileges.
- Identifying and escalating red-flag issues
- Organizing documentation for department and committee review and approval.
- Recording and maintaining practitioner information in electronic and hard copy filing systems. Includes data entry and accurate maintenance of the credentialing database and safeguarding private and confidential information.
- Acts as customer service liaison and leads the credentialing process with medical staff personnel, department representatives, licensing agencies and insurance carriers.
- Assesses and re-prioritizes work in accordance with shifting priorities and backlog.
- Operational Performance
- Responsible for the coordination of credentialing activities that optimize best practices for physician and department satisfaction.
- Ensures active communication with all external and internal constituencies to establish strong relationships that are complimentary and consistent with organizational goals and strategic needs.
- Ensure that time is properly allocated in order to achieve credentialing deliverables and expectations of clients/physicians/providers, while adhering to credentialing standards.
- Establishes and maintains working relationships with the organization in order to obtain information and content from providers for health system selections.
- Serve as an operational resource for internal team members for expedited problem identification and resolution, provision of credentialing-specific updates, and team interactions and deadlines.
- Provides clear and timely written and verbal status updates to applicants and department administrators.
- May participate in probationary and annual performance evaluations.
- Performs other related duties as assigned
- Bachelor’s degree or equivalent experience
- 3 years hospital credentialing experience.
- Knowledge of commonly-used concepts, practices, and procedures used in health care and physician credentialing.
- NAMSS Certified Provider Credentialing Specialist (CPCS) preferred
- Advanced Microsoft Office skills (MS Word, Excel, Power Point)
- Experience with Cactus or Morrisey Software systems, or similar credentialing system.
Strength Through Diversity
The Mount Sinai Health System believes that diversity is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we’re as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education and advancement as we revolutionize medicine together.
We work hard to acquire and retain the best people, and to create a welcoming, nurturing work environment where you can develop professionally. We share the belief that all employees, regardless of job title or expertise, can make an impact on quality patient care.
Explore more about this opportunity and how you can help us write a new chapter in our story!
Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.
Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospital campuses, including Mount Sinai Beth Israel, Mount Sinai Beth Israel Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.
The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation.