Credentialing and Privileging Coordinator

Brazos Valley Community Action Agency
College Station, TX, US
Full-time

Job Description

Job Description

Employer Paid Benefits : $0 for employee only coverage

Medical / Dental / Vision / STD / LTD / Life / AD & D

HealthPoint is investing in employee's wellbeing! The Virgin Pulse wellbeing program gives you the tools to get active, get healthy and get rewarded! This resource is offered at no cost to ALL HealthPoint employees.

HealthPoint is bringing HOPE, HEALTH and HAPPINESS to our communities through Positive Disruption, Unleashing Joy & Putting People First.

To be the best place to work, practice medicine and receive care.... With an attitude of gratitude!

Click Here to see how we are shaping our culture with Orange Frog!

BASIC FUNCTION

The Credentialing and Privileging Coordinator oversees the process of credentialing clinical staff joining HealthPoint, a Federally Qualified Health Center (FQHC), and ensuring their privileges are aligned with their qualifications.

Clinical Staff includes licensed practitioners (for example, Physician, Dentist, Physican Assistant, Nurse Practitioner), other licensed or certified practitioners (for example, Registered Nurse, Licensed Practical Nurse, Registered Dietician, Certified Medical Assistant), and other clinical staff providing services on behalf of HealthPoint (for example, Medical Assistants or Community Health Workers that do not require licensure or certification).

PRIMARY RESPONSIBILITIES AND DUTIES

Credentialing and Privileging Oversight

Manage the credentialing and recredentialing process for all HealthPoint clinical staff joining HealthPoint, ensuring compliance with federal and state regulations.

Coordinate with various departments to gather and verify necessary documents, including but not limited to licenses, certifications, education, training, and relevant work history.

Conduct primary and secondary source verification of credentials to ensure accuracy and validity.

Ensure verification of HealthPoint’s clinical staff of the following, as applicable :

Current licensure, registration, or certification from a primary source

Education and training for initial credentialing using :

Primary sources for Licensed Independent Practitioners (LIPs)

  • Primary or other sources (as determined by HealthPoint) for other licensed or certified practitioners (OLCPs) and any other clinical staff;
  • Completion of a query through the National Practitioner Data Bank (NPDB), an electronic information repository containing information on medical malpractice payments and certain adverse actions related to health care practitioners, entities, providers, and suppliers;
  • Clinical staff members identity for initial credentialing using a government-issued picture identification;

Drug Enforcement Administration (DEA) registration; and

Current documentation of basic life support training.

24 days ago
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