Methodist Health System
System Credential Verification Coordinator
Methodist Health System, Dallas, Texas, United States, 75201
Credentialing Specialist
Hours of Work: 08:00 am to 4:30 pm as needed Days Of Week: Mon-Fri as needed Work Shift: Job Description: Education: Associates Degree preferred, minimum of High school Diploma or Equivalent required Licenses and/or Certifications: Certification by the National Association of Medical Staff Services (CPCS or CPMSM) preferred Related Work Experience and Other Skills: Work Experience: 2 years' experience with a minimum of one year in credentialing physician and allied health professionals Knowledge/familiarity with MSO databases - preferred Must have excellent oral and written communication skills Must have excellent interpersonal skills and work effectively and efficiently with healthcare professionals both in and out of the hospital environment Must be motivated as well as a self-starter who can work independently; however capable and willing to take direction as appropriate Knowledge of medical terminology preferred Computer skills to Operate Microsoft Outlook, Word, and Excel Demonstrates loyalty, reliability, tactfulness, and honesty Maintains emotional stability and a calm disposition Exhibit a high degree of confidentiality Must possess superb organizational skills Ability to work in a remote capacity while ensuring departmental productivity standards are met CVO Processes: Process Practitioner credentialing applications for Independent Practitioners and Allied Health Professionals in accordance with accreditation standards, regulatory requirements and policies and procedures; Examine, research, and data enter information from practitioner application. Gathers all information necessary to process information received from practitioners to support the credentialing process. Determines applicant's initial eligibility for membership/participation Obtains primary source verifications of education, training, experience, licensure, hospital affiliations, work history and peer references. Obtains delineation of privileges and associated case logs/documentation. Analyzes application and supporting documents for completeness and informs the practitioner of the application status, including the need for any additional information. Maintains compliance with documentation standards for verification of credentialing requirements including but not limited to licenses, certifications, registrations, permits, education degrees, association membership and related electronic system and software Responsible for the maintenance and accuracy of electronic credentialing files; Verify and respond to telephone inquiries and written inquiries from practitioners and other departments, pertaining to practitioner and credentialing status in a professional and courteous manner. Maintain all additions, terminations and charges to practitioners' membership and privileges. Recognizes, investigates, and validates discrepancies and adverse information obtained from the application, primary source verifications, or other sources. Act as a liaison between the medical staff and other departments of the hospital and provide assistance in the coordination of the duties of the medical staff related to credentialing and recredentialing. Maintain the credentialing database assuring accuracy and completeness Organize and maintain credentials files in the medical staff office Maintain a working knowledge of the Medical Staff Bylaws Department rules and regulations; and Hospital Policies pertaining to medical staff, practitioner, and the organization to ensure the medical staff's adherence with stated parameters Maintain compliance with regulatory and accrediting bodies; Joint Commission standards, State and Federal Law pertaining to the Medical Staff and apply them to the credentialing, privileging process as needed Other Duties as Assigned
includes but is not limited to miscellaneous data entry after action by the Board of Directors, offering to help when certain applications become urgent. Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we've earned: TIME magazine Best Companies for Future Leaders, 2025 Great Place to Work Certified, 2025 Glassdoor Best Places to Work, 2025 PressGaney HX Pinnacle of Excellence Award, 2024 PressGaney HX Guardian of Excellence Award, 2024 PressGaney HX Health System of the Year, 2024
Hours of Work: 08:00 am to 4:30 pm as needed Days Of Week: Mon-Fri as needed Work Shift: Job Description: Education: Associates Degree preferred, minimum of High school Diploma or Equivalent required Licenses and/or Certifications: Certification by the National Association of Medical Staff Services (CPCS or CPMSM) preferred Related Work Experience and Other Skills: Work Experience: 2 years' experience with a minimum of one year in credentialing physician and allied health professionals Knowledge/familiarity with MSO databases - preferred Must have excellent oral and written communication skills Must have excellent interpersonal skills and work effectively and efficiently with healthcare professionals both in and out of the hospital environment Must be motivated as well as a self-starter who can work independently; however capable and willing to take direction as appropriate Knowledge of medical terminology preferred Computer skills to Operate Microsoft Outlook, Word, and Excel Demonstrates loyalty, reliability, tactfulness, and honesty Maintains emotional stability and a calm disposition Exhibit a high degree of confidentiality Must possess superb organizational skills Ability to work in a remote capacity while ensuring departmental productivity standards are met CVO Processes: Process Practitioner credentialing applications for Independent Practitioners and Allied Health Professionals in accordance with accreditation standards, regulatory requirements and policies and procedures; Examine, research, and data enter information from practitioner application. Gathers all information necessary to process information received from practitioners to support the credentialing process. Determines applicant's initial eligibility for membership/participation Obtains primary source verifications of education, training, experience, licensure, hospital affiliations, work history and peer references. Obtains delineation of privileges and associated case logs/documentation. Analyzes application and supporting documents for completeness and informs the practitioner of the application status, including the need for any additional information. Maintains compliance with documentation standards for verification of credentialing requirements including but not limited to licenses, certifications, registrations, permits, education degrees, association membership and related electronic system and software Responsible for the maintenance and accuracy of electronic credentialing files; Verify and respond to telephone inquiries and written inquiries from practitioners and other departments, pertaining to practitioner and credentialing status in a professional and courteous manner. Maintain all additions, terminations and charges to practitioners' membership and privileges. Recognizes, investigates, and validates discrepancies and adverse information obtained from the application, primary source verifications, or other sources. Act as a liaison between the medical staff and other departments of the hospital and provide assistance in the coordination of the duties of the medical staff related to credentialing and recredentialing. Maintain the credentialing database assuring accuracy and completeness Organize and maintain credentials files in the medical staff office Maintain a working knowledge of the Medical Staff Bylaws Department rules and regulations; and Hospital Policies pertaining to medical staff, practitioner, and the organization to ensure the medical staff's adherence with stated parameters Maintain compliance with regulatory and accrediting bodies; Joint Commission standards, State and Federal Law pertaining to the Medical Staff and apply them to the credentialing, privileging process as needed Other Duties as Assigned
includes but is not limited to miscellaneous data entry after action by the Board of Directors, offering to help when certain applications become urgent. Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we've earned: TIME magazine Best Companies for Future Leaders, 2025 Great Place to Work Certified, 2025 Glassdoor Best Places to Work, 2025 PressGaney HX Pinnacle of Excellence Award, 2024 PressGaney HX Guardian of Excellence Award, 2024 PressGaney HX Health System of the Year, 2024