Credentialing Assistant

Job Description:

The Provider Credentialling Assistant is responsible for assisting the PHP Coordinator in the integration of the hospital and associated physician network in the PHO. The position serves as liaison between the physicians, their office staff, and various Payors. All the functions performed in accordance with the overall mission, values and strategic plan of the Physician Hospital Organization (PHO).

Essential Duties:

Performs all aspects of the Credentialing and re-credentialing process and solicits pertinent information for committee review

Maintain individual physician/provider permanent file and record of decisions regarding participation

Assist PHP Coordinator in monthly task with payor update

Responsible for draft version of annual delegated credentialing network/payor audits for PHP Coordinator review

Maintain provider relations

Serve as the point of contact for all communication between a Payor and the individual physician offices that are members of the PHO.

Follows Hospital and Departmental Policies and Procedures

Requirements:

High school diploma

Minimum of 5 years experience in healthcare management pertaining to credentialing programs, managed care, physician relations or a related field and proven communications and quantitative skills