Credentialing Coordinator (Remote) - Business Office - Medicine

Scheduled Hours

40

Position Summary

This position is responsible for initiating, preparing/coordinating and monitoring the privileging and credentialing process for faculty, Nurse Practitioners and allied health professionals. Works closely with both Directors, Billing Operations, Medical Staff Offices (MSOs), Credentialing Verification Office (CVO), Washington University Physician Network (WUPN) and Department of Medicine divisions.

Job Description

Primary Duties & Responsibilities

Credentialing/Privileges

• Manages and tracks initial privileging process for all new providers throughout each fiscal year.
• Assists with hospital reappointment for active Department of Medicine providers.
• Responsible for initiating hospital privilege process and application paperwork.
• Advises faculty and allied health professionals regarding the completion of application paperwork.
• Notifies Department of Medicine personnel of new providers.
• Serves as a liaison between multiple hospital Medical Staff Offices (MSOs), Credentialing Verification Office (CVO), Department of Medicine divisions and providers.
• Assists MSOs with collection of documentation necessary for obtaining hospital privileges.
• Advises Nurse Practitioners on completion of their collaborative practice agreements.
• Responsible for obtaining, reviewing and tracking Department of Medicine Collaborative Practice Agreements (Certified Public Accountant).
• Serves as a liaison between WUSM General Counsel Office and Department of Medicine divisions.
• Assists with the professional liability process.
• Track all steps in “IM New Physicians” spreadsheet.
• Attends and coordinates Credentialing process meetings, as needed.

Credentialing/Billing

• Manages, prepares and coordinates Department of Medicine provider enrollment with the Government and Managed Care Plans, Washington University Physician Network (WUPN) and all Out of State Medicaid applications. Includes completion of out-of-state applications and WUPN load sheets.
• Assists WUPN with reappointment for active Department of Medicine providers.
• Assists Directors, Billing Operations in regards to untimely provider packets.
• Serves as a liaison between Department of Medicine divisions and WUPN.
• Works the Epic Claim Edit Task Manager relating to Credentialing Claim Edits.
• Creates new accounts and Incident-To Supervising Providers to the Epic dictionary.
• Adds provider numbers and termination dates to the Epic dictionary.
• Maintains the Epic dictionary for Department of Medicine providers.
• Maintains provider licenses.
• Key resource regarding the credentialing process for the Department of Medicine divisions, billing staff, providers and other Departments.
• Track all steps in “IM New Physicians” spreadsheet.
• Attends and coordinates Credentialing process meetings, as needed.

Administrative

• Carries out various special projects as directed.

Preferred Qualifications

• Some college.
• Experience with provider credentialing as it relates to the hospital and/or managed care plans.
• Ability to work independently and meet established deadlines as well as working with others and collaborating with other Departments and outside contacts.
• Experience with Word and Excel with preferred experience in Epic and HR System as well.

Required Qualifications

High School Diploma.

Grade

C09-H

Salary Range

$22.33 - $33.53 / Hourly

The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.

Questions

For frequently asked questions about the application process, please refer to our External Applicant FAQ.

Accommodation

If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.

Pre-Employment Screening

All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.

Benefits Statement

Personal

• Up to 22 days of vacation, 10 recognized holidays, and sick time.

• Competitive health insurance packages with priority appointments and lower copays/coinsurance.

• Want to Live Near Your Work and/or improve your commute? Take advantage of our free Metro transit U-Pass for eligible employees. We also offer a forgivable home loan of up to $12,500 for closing costs and a down payment for homes in eligible neighborhoods.

• WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.

Wellness

• Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!

Family

• We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered.

• WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.

For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/

EEO/AA Statement

Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.

Diversity Statement

Washington University is dedicated to building a diverse community of individuals who are committed to contributing to an inclusive environment – fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.