Gainesville, Georgia
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Morristown, New Jersey
Huntington, West Virginia
Posted: 29-May-25
Location: Austin, Texas
Type: Full Time
Categories:
Sector:
Required Education:
Additional Information:
Internal Number: COORD008291
ABOUT AUSTIN REGIONAL CLINIC:
Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas’ largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit https://www.austinregionalclinic.com/careers/
PURPOSE
Coordinates the operational processes and ongoing credentialing, privileging, and medical staff governance functions of the Ambulatory Surgery Centers (ASCs). Responsible for review, analysis and follow up of credentialing and privileging applications. Meets the standards as set forth in the Credentialing Policies and Procedures and AAAHC compliance. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization.
ESSENTIAL FUNCTIONS
- Assists in the management of the medical staff support function for the ASC as outlined in the Medical Staff Bylaws.
- Coordinates receipt of credentialing and privileging applications following processing and primary source verification by ARC credentialing team
- Performs review and analysis, identification and follow up of "red flag" items; prepares files for review and recommendation by the medical staff.
- Maintains databases/records of required provider information, including but not limited to licensures and documents.
- Prepares summary reports of credentialing/privileging recommendations and ensures flow of information and action items for medical staff committees outlined in the Medical Staff Bylaws.
- Performs the re-credentialing process to ensure all providers are re-credentialed within the re-credentialing renewal cycle.
- Ensures files are kept current and orderly.
- Monitors all required regulatory websites as required by AAAHC Standards. Documents findings. Reports any issues identified to Supervisor.
- Adheres to all company policies, including but not limited to OSHA, HIPAA, compliance and Code of Conduct.
- Regular and dependable attendance.
- Follows the core competencies set forth by the Company, which are available for review on ARC SharePoint.
OTHER DUTIES AND RESPONSIBILITIES
- Provides regular workload/productivity reports to supervisor.
- Responds professionally and effectively to questions from external sources, i.e., customer or carrier, and internal sources, i.e., provider or management team.
- Attends required in-services, training sessions, and department meetings.
- Assists ARC Credentialing team during busy times
- Performs other duties as assigned.
QUALIFICATIONS
Education and Experience
Required: High school diploma or GED. Two (2) or more years of experience working in credentialing and/or medical staff office.
Preferred: Experience working in a hospital or ambulatory surgery center medical staff office. Experience using credentialing software.
Certificate/License: Preferred: CPCS or CPES certification
Knowledge, Skills and Abilities:
- Excellent computer and keyboarding skills, including familiarity with Windows.
- Excellent verbal and written communication skills.
- Excellent attention to detail.
- Excellent customer service skills.
- Excellent interpersonal & problem-solving skills.
- Ability to work in a team environment as well as independently.
- Ability to engage others, listen and adapt response to meet others’ needs.
- Ability to align own actions with those of other team members committed to common goals.
- Ability to organize and prioritize own work schedule.
- Ability to manage competing priorities.
- Ability to perform job duties in a professional manner at all times.
- Ability to understand, recall, and communicate, factual information.
- Ability to understand, recall, and apply oral and/or written instructions or other information.
- Ability to organize thoughts and ideas into understandable terminology.
- Ability to apply common sense in performing job.
Work Schedule: Monday - Friday 8AM - 5PM (Hybrid opportunity within Texas after training completed)