Credentialing Coordinator

Company: International SOS
Location: Houston
Posted on: November 20, 2023

Job Description:

Company Description

International SOS delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home.

Founded in 1984, we operate in 92 countries providing integrated medical solutions to organizations with international operations. Our innovative technology and medical and security expertise focus on prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include "hands on" direct care at over 800 sites around the world, many of which include inpatient clinical care capabilities.

With 12,000 staff (including 5,200 medical and behavioral health providers) our services include the design, deployment, and operation of healthcare solutions including freestanding surgical facilities in remote and austere environments, telemedicine consultation through a wide range of virtual modalities, referrals to a global network of more than 100,000 vetted providers, and global aeromedical evacuation. Within our portfolio of companies, International SOS Government Medical Services (GMS), headquartered in Houston, Texas provides contracted healthcare support to Government defense and civil agencies and government contractors, including support to military exercises and operations, diplomatic missions, natural disasters, and refugee care.

A. About the role

Ensures the timely completion of an application for initial and/or re-credentialing by assisting the applicant in submitting all documentation necessary to process the application. Performs a variety of credentialing tasks to complete the credentialing process for Government Medical Service. This position is an integral part of the credentialing team and is responsible for following credentialing policies and procedures; maintaining an accurate physician data base; collecting data; and participating in development and implementation of changes to the credentialing processes.

B. Key Responsibilities
--- Performs file audits and provides feedback on completed initial and reappointment credentialing files.
--- Assists in daily data entry to ensure an accurate healthcare provider data base.
--- Communicates regularly with applicants to complete all requirements of the credentialing criteria within specified timeframes.
--- Contacts various primary sources to gather the required verifications to complete the background investigation via telephone, fax transmissions, mailings and Internet to ensure rapid completion of the application.
--- Prepares documentation of all verifications including a summary of all verified references for each completed credentials file.
--- Assists in the reappointment process; collecting required information, verifying information, and completing appropriate follow-up to complete the reappointment application.
--- Meets processing time thresholds consistently and with minimal error.
--- Maintains a customer-focus attitude, good rapport, and cooperative relationships. Approaches conflict in a constructive manner. Helps to identify problems, offer solutions, and participate in their resolution. Tracks errors and complaints to assist with process improvement activities.
--- Helps to identify problems, offer solutions, and participate in their resolution.
--- Maintains the confidentiality of information acquired.
--- Assumes responsibility for performance of job duties in the safest possible manner, to ensure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management.
--- Performs other duties as needed and assigned by the Human Resources Director.
--- Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Government Medical Services and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

C. Job Profile

Required Skills and Knowledge (Brief description of technical knowledge or skills needed to perform the job)
--- Must possess two years of post-high school education, training, or experience in medical credentialing and privileging. Associate degree in health administration or a related healthcare field preferred.
--- One year of work experience in the health care environment and general knowledge of the health care industry including hospital settings, physician practices, and managed care organizations.
--- Certified Provider Credentials Specialist (CPCS) preferred.
--- Knowledge and understanding NPDB guidelines, Government Medical Service policies and procedures, and general licensing regulations.
--- Knowledge and experience with database organization and management, report generating languages, PC's and proficiency in Windows-based word processing software.
--- Strong communication skills including the ability to correspond effectively, as well as verbally convey information clearly, listen actively, and consider varying viewpoints when making decisions. Strong statistical, analytical and problem-solving skills. Ability and desire to provide quality service to others. Strong organizational skills and the ability to provide attention to detail and thoroughness. Ability to work autonomously and within a team environment. Must possess the ability to comply with Government Medical Service policies and procedures.

Required Competencies (Critical behaviours necessary to successfully perform the job)
--- Ability to build and maintain effective working relationships and personal credibility
--- Excellent communication, consulting and influencing skills
--- Self-starter; takes initiative and proactively communicates
--- Ability to work under pressure and meet deadlines
--- Collaborative approach working with HR colleagues, cross functionally and among client groups
--- Assertive, resilient and resourceful
--- Ability to deal with ambiguity and implement best practice in the absence of a policy or procedure
--- Professional and informed; objective
--- Effective listening skills; ability to assess a situation and propose reasonable solutions
--- Strong interpersonal skills to work effectively with all levels of leadership, employees and peers

Required Languages (Brief description of the language skills needed to perform the job)
--- English required

International SOS Government Medical Services is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state and local laws.

Keywords: International SOS, Houston , Credentialing Coordinator, Other , Houston, Texas