The Coordinator, Delegated Credentialing is responsible for the verification of information submitted by a Physician or an Advanced Practitioner applying for Medical Staff privileges at St. Luke’s University Health Network facilities. Ensures that compiled data is in in compliance with all regulatory and accrediting requirements, including insurance payers. Ensures that all information for Medical Staff appointment is complete and accurate.
JOB DUTIES AND RESPONSIBILITIES:
Fields requests from providers to become members of SLCN and assures submitted documents are complete
In preparation for CVO Credentialing Committee meeting, confirms completion of provider verifications and other documents
Prepares credential and recredential files for delegated credential payer audits. Coordinates audit, communicates with payer representatives, assures remediation as needed
Performs activities related to the Network credential verification process for initial, temporary and reappointment applications for Physicians and Advanced Practitioners
Verifies credentials of providers are in compliance with regulatory and accrediting requirements
Collaborates with Medical Staff and leadership to ensure credentialing and processing standards are met. Reaches out to Medical Staff as necessary for timely completion of credentialing information
Conducts data analysis of assigned credentials files and documents ensuring an accurate and current practitioner database utilizing the Credentialing software
Ensures accurate and timely verification of provider credentials and privileges according to established policies and procedures
Posts accurate credentialing information on the Physician Web as documentation is completed for APS and Credentialing Committees approval
PHYSICAL AND SENSORY REQUIREMENTS:
Sitting for up to eight (8) hours a day, three (3) hours at a time, including extensive use of computer terminal and telephone. Standing and walking as necessary. Pushing and pulling file carts, moving of hands as it relates to computer work and filing. Occasional stoops and bends, squats, kneeling and reaching above the shoulder level. Hearing as it relates to normal and telephone conversation. Seeing as it relates to general, near and far vision.
EDUCATION:
High School diploma or equivalent required.
TRAINING AND EXPERIENCE:
Experience with personal computers and Microsoft Office is required. Strong customer service skills. Excellent verbal and written communication skills. Detail and service oriented.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
Founded in 1872, St. Luke’s University Health Network (SLUHN) is a fully integrated, regional, non-profit network of more than 23,000 employees providing services at 16 campuses and 350+ outpatient sites. With annual net revenue of $4 billion, the Network’s service area includes 11 counties in two states: Lehigh, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe, Schuylkill and Luzerne counties in Pennsylvania and Warren and Hunterdon counties in New Jersey. St. Luke’s hospitals operate the largest network of trauma centers in Pennsylvania, with the Bethlehem Campus being home to St. Luke’s Children’s Hospital. Dedicated to advancing medical education, St. Luke’s is the preeminent teaching hospital in central-eastern Pennsylvania. In partnership with Temple University, the Network established the Lehigh Valley’s first and only four-year medical school campus. It also operates the nation’s longest continuously operating School of Nursing, established in 1884, and over 50 fully accredited graduate medical educational programs with more than 500 residents and fellows. In 2022, St. Luke’s, a member of the Children’s Hospital Association, opened the Lehigh Valley’s first and only free-standing facility dedicated entirely to kids. SLUHN is the only Lehigh Valley-based health care system to earn Medicare’s five-star ratings (the highest) for quality, efficiency and patient satisfaction. It is both a Leapfrog Group and Healthgrades Top Hospital and a Newsweek World’s Best Hospital. The Network’s flagship University Hospital has earned the 100 Top Major Teaching Hospital designation from Premier 13 times total and eleven years in a row, including in 2023 when it was identified as THE #4 TEACHING HOSPITAL IN THE COUNTRY.
