POSITION SUMMARY: The full-time Medical Department Credentialing Coordinator serves and advocates for clinicians and provides administrative support to the Medical and Quality Assurance Departments. He/she serves as Credentialing Manager for Esperanza, coordinates provider on and off-boarding and manages the department budget. ESSENTIAL FUNCTIONS Credentialing • Guide clinicians (and other licensed professional staff including BHC, Dentists, Nurses, and Dieticians) through the credentialing, privileging, and re-credentialing processes. • Internal Credentialing • Request, gather, and maintain on file all relevant documentation for internal and external provider/staff credentialing • Create, maintain, and update credentialing reports and spreadsheets. • Governmental Licensing • Coach clinicians in how and when to apply for licenses. • Submit initial supervision agreements (PA’s) and prescriptive authority applications (CRNP’s) for midlevel practitioners with state medical and nursing boards. Take lead in keeping up to date with changing requirements. • Maintain on file collaborative agreements for CRNP’s. • Prepare and submit credentialing applications for new clinicians with Medicaid and Medicare. • Insurance/External Privileging • Prepare and submit privileging applications for new clinicians with insurance companies. • Request and maintain hospital privileges for applicable clinicians. • Maintain a filing system that allows for timely retrieval of requested information. • Keep a constant flow of communication between the insurance companies, hospitals, malpractice companies and medical billing agencies, to ensure EHC is in compliance with all state, city and federal regulations. • Research and resolve any and all credentialing issues. • Update and inform Medical Director, Dental Director, Behavioral Health Director, HR Director, Executive Director, and Billing Manager of any issues, changes in policies and/or provider status changes that may arise unexpectedly. • Keep a professional and friendly relationship with all network representatives. • Re-credentialing • Manage the internal re-privileging process for clinicians and other licensed professional staff every two years (concurrent with the renewal date of providers’ licenses). • Create and maintain Council for Affordable Quality Healthcare (CAQH) profiles for billable practitioners in coordination with the Dental and BHC departments. • Support clinician completion of continuing medical education requirements and reimbursements within Esperanza guidelines. Medical Director and Clinician Leadership Support • Support projects of Medical Director, Site Medical Directors and Associate Medical Directors as needed and as available. • Know and communicate Medical Department policy to clinicians and staff when appropriate. Assist with drafting, editing, compiling, and formatting medical department policy and procedure. Clinician Support • Provide spiritual support, encouragement to clinician staff as needed • Take initiative to check in with clinicians (especially at K&A), advocate for clinician wellbeing and concerns, and work toward resolution of any problems that arise. • Respond to clinician communication in a timely fashion. • Coordinate ACLS and BLS training for medical clinicians every 2 years. Human Resources • Participate in clinician screening and interviewing. • Occasionally assist with clinician recruiting at conferences, career fairs, and other events. • Communicate in a timely fashion with HR about clinician start dates, FMLA’s, leaves, and FTE changes. • Coordinate and plan staff retreats with HR, as needed. • Coordinate onboarding for oncoming clinicians, communicating with HR, IT and appropriate departments • Coordinate exit process for departing clinicians including sending farewell letters to patients, scheduling a goodbye dinner, communicating with HR and appropriate departments, and overseeing patient reassignment in collaboration with Medical Department Administrator. Additional Responsibilities • Help to cover tasks during absences of Medical Department Administrator. • Coordinate tracking and maintenance of Athena Billable license count, working with IT and Finance to ensure that appropriate number of licenses are maintained • Coordinate access to external EMR systems • Budget Management • Manage departmental budget, track expenses, and ensure timely reimbursements. • Prepare monthly credit card usage report. • Project department expenses for annual budget proposal. COMPETENCIES • Demonstrates Godly character and lifestyle in keeping with authority of the Bible • Self-directed and motivated. • Exceptional organizational and interpersonal skills, with attention to detail required. • Independent thinker and good problem-solver. • Strong oral/written communication is required. Establishes and maintains open lines of communications with other staff. • Ability to work collaboratively in a team and manage multiple priorities, utilize effective time management skills, and exercise sound administrative judgment. • Ability to analyze systems and to develop creative solutions to problems. • Demonstrated ability to work well with people of various ages, backgrounds, ethnicities, and life experiences. • Mature, well-spoken. Maintains discretion and confidentiality in communicating with others. • Wisdom and courage to evaluate candidates in a way that preserves Esperanza’s mission and honors and respects those who may not be good fits. • Communicates the love of Christ through interactions, not complaining or arguing, but expressing hope in Christ and His promises. • Seeks to serve Christ and proclaim the gospel in word and deed. KNOWLEDGE, SKILLS, AND QUALIFICATIONS • Bachelor’s degree preferred. • NAMSS certification preferred. • At least 1-2 years of administrative experience preferred. • Bilingual English/Spanish preferred. • Experienced with MS Word and Excel. WORKING CONDITIONS • Must be able to work in regular office environment.