Credentialing Specialist
3 days ago
Job Responsibilities:
- Oversee the credentialing processes for medical and health staff, ensuring compliance with the hospital's Medical Staff Bylaws, Credentialing Policies, and relevant federal and state regulations.
- Provide administrative support to Credentials, General Staff, and various Medical Staff committees and departments as needed.
- Manage requests for temporary privileges, ensuring all follow-up actions align with established policies and procedures.
- Handle requests for additional privileges and monitor related follow-up activities according to policies and procedures.
- Process requests for one-time privileges for visiting physicians and student observers.
- Coordinate the verification of professional liability coverage, medical licenses, board certifications, and required certifications (BLS, ACLS, ATLS, NRP, DEA).
- Collect updated PPD results and conduct annual evaluations for AHPs.
- Assist in managing the annual dues process.
- Support credentialing and database management efforts.
- Provide assistance to customers in the absence of the Credentialing Assistant or Administrative Assistant.
- Aid in preparations for Joint Commission accreditation as needed.
- Help coordinate the annual on-call schedule and facilitate the election of Department Directors (every two years).
- Assist in preparing and distributing new committee rosters (every two years) and the yearly master calendar.
- Verify medical staff membership and clinical privileges of providers from other healthcare organizations.
- Support the organization of medical staff events and perform other assigned duties.
Required Skills & Experience:
- 5+ years of experience in a healthcare environment focused on credentialing, privileging, and medical staff services.
- Strong verbal, written, and telephone communication skills are essential.
- Ability to manage multiple tasks, with a keen attention to detail and excellent interpersonal abilities.
- Capable of working independently and making sound decisions related to credentialing and privileging, as well as other medical staff services.
- Self-motivated with a proven ability to work effectively in a team setting, exemplifying high standards in teamwork, professionalism, reliability, and commitment to quality improvement.
- Proficient in database management and skilled in Microsoft Office and Windows applications.
- Familiarity with Joint Commission and other healthcare regulatory bodies is preferred.
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