Description
Description
The Credentialing Coordinator coordinates credentialing for assigned physicians and neurodiagnostic technologists supporting INN's IONM and EEG services. Working under the direction of the Credentialing Supervisor, the Coordinator handles each clinician's credentialing from onboarding through separation. This includes state licensure, hospital privileges, reappointments, renewal of time-limited credentials, file maintenance, and primary source verification as assigned. The Coordinator serves as the primary credentialing contact for assigned clinicians and facilities and works to keep every clinician's credentials and privileges current at each facility they serve.
Credentialing Files and Expirables
Gather, verify for completeness, and maintain credentialing records in the credentialing management system so every file is accurate and ready for inspection at any time
Monitor expiration dates for licenses, board certifications, CNIM, R. EEG T., R.EP T., BLS/CPR, professional liability coverage, and facility-specific requirements. Begin renewals within the lead time set by INN credentialing policy to minimize preventable lapses and escalate renewal risks
When an assigned clinician leaves INN or stops covering a facility, notify the affected medical staff offices, submit privilege relinquishment notices, and close out or update credentialing files and tracking
Build and maintain productive working relationships with assigned physicians, their administrative staff, and INN's IONM and EEG technologists. Communicate requests clearly, respect their schedules, and handle requests efficiently to limit disruption to their clinical work
Hospital Privileges
Complete and submit initial and reappointment applications for hospitals and surgery centers, including credentialing-by-proxy applications where applicable
Build and maintain productive working relationships with client medical staff offices. Serve as their primary contact for assigned clinicians, respond to credentialing questions promptly, and follow each application through to approval
State Licensure
Prepare initial and renewal state license applications for assigned clinicians
Prepare Interstate Medical Licensure Compact applications and use FSMB credentials verification services where applicable
Follow up with licensing boards and clinicians until each license is issued
Primary Source Verification and File Maintenance
Maintain complete, current credentialing files for licensed practitioners through initial appointment and reappointment. Prepare files for review on schedule
Track reappointment due dates and gather updated documentation early enough that files are complete before each cycle closes
Perform primary source verification when assigned. This covers licensure, board certification, education and training, work history, National Practitioner Data Bank queries, and OIG/SAM exclusion screening
Document verification results, dates, and sources according to INN policy and TJC standards
Complete time-sensitive re-verifications at reappointment and upon renewal of expiring credentials
Compile and file FPPE and OPPE documentation for licensed practitioners according to applicable accreditation standards, facility requirements, and INN policy
Escalate any discrepancies, adverse findings, or gaps in history to the Credentialing Supervisor promptly
Technologist Credentialing
Onboarding activities such as participating in orientation meetings with techs to discuss action items and introduce credentialing workflows
Coordinate with facility stakeholders regarding tech onboarding, EMR access, applications, badging, or vendor account access
Ongoing maintenance and travel coordination
Internal Coordination and Process Improvement
Give the Credentialing Supervisor a status report on assigned clinicians at regular intervals, or on request
Escalate anything that threatens a clinician's ability to provide patient care, such as stalled applications, pending licenses, or near-term expirations, as soon as it surfaces
Communicate timely license, privilege, and credentialing updates to Operations, payer enrollment, leadership, and other authorized stakeholders. Provide credentialing records and status reports as requested
Monitor changes in state board and client facility credentialing requirements, and recommend updates to checklists and templates
Participate in internal file audits and fulfill TJC and client hospital survey requests
Identify workflow bottlenecks and suggest improvements to templates, tracking, and procedures
Participate in credentialing team meetings, contribute to team goals, and help solve problems
Carry out management decisions once they're made, and adjust to changes in priorities, processes, and assignments.
Contribute to a team environment built on trust, respect, and shared workload
Other duties as assigned
Confidentiality
This role routinely handles Social Security numbers, dates of birth, licensure histories, and National Practitioner Data Bank results. The Coordinator accesses and discloses this information only as authorized under INN policy. The Coordinator also protects login credentials for credentialing portals and databases and follows INN security practices for system access.
Knowledge, Skills, Abilities and Other Characteristics
Understanding of provider credentialing, hospital privileging, and state licensure processes, or the ability to learn them through training
Familiarity with primary source verification requirements and acceptable verification sources, or the ability to learn them through training
Awareness of TJC standards for licensed practitioners and of privacy obligations for sensitive personal data
Detailed document review: catching errors, missing items, and inconsistencies across applications and supporting records
Clear, professional writing and phone communication with clinicians, medical staff offices, and state boards
Working proficiency with databases, spreadsheets, and shared document systems
Accurate data entry and record keeping
Manage a large volume of deadlines at once and keep items from lapsing
Prioritize work when facility start dates, renewals, and reappointments compete
Work independently once trained, and recognize when an issue needs to go to the Credentialing Supervisor
Follow up persistently with outside parties until items are resolved
Learn new state and facility requirements and apply them consistently
Takes initiative, anticipates problems before they cause delays, and stays motivated without close direction
Maintains a constructive attitude when priorities shift or workload peaks
Discretion and sound judgment with confidential information
Dependable follow-through; others can rely on this person's commitments
Willingness to take on work outside the core role during temporary coverage needs
Assist with cross-training and temporary coverage of related credentialing responsibilities
Composure under deadline pressure
Interest in improving processes rather than working around problems
Core Competencies
Analytical Thinking: Reviews applications and verification results to spot gaps, inconsistencies, and risks, and raises them with the right person.
Relationship Building: Earns the trust of clinicians, medical staff offices, state boards, and internal teams through reliable, courteous follow-through.
Team Building: Shares information and workload, supports teammates during peak periods, and helps the team meet shared goals.
Professional Ethics: Handles confidential information with integrity and reports discrepancies or adverse findings accurately and promptly.
Professional Presence: Represents INN credibly in every interaction with clinicians, client facilities, and regulatory bodies.
Flexibility/Adaptability: Adjusts to changing requirements, priorities, and assignments, including temporary cross-team coverage.
Physical Demands
Prolonged periods of sitting at a desk and working on a computer
Manual dexterity required for keyboarding and other manual tasks
Must be able to lift up to 10lbs at a time
Must be able to effectively commute to/work in the downtown office (per INN policy) to provide necessary in-person collaboration and training
Requirements
Required
1–2 years of healthcare administrative, medical office, HR, or comparable coordination experience
High school diploma or GED
Proficiency with office productivity software, including word processing, spreadsheets, email, and cloud-based document sharing
Preferred
Experience with provider credentialing, medical staff services, or professional licensure
Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Staff Management (CPMSM) by the National Association Medical Staff Services (NAMSS)
Associate's or bachelor's degree
Benefits:
401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Referral program
Vision insurance
Continuing education allowance
Applications for this position are accepted on an ongoing basis. The posting will remain open until the position is filled. Interested candidates are encouraged to apply the same day they view this posting.
Colorado Residents: In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information.