Credentialing Specialist

2 weeks ago

Cincinnati, Ohio, United States Equiliem Full time
Job Title: Credentialing Specialist

We are seeking a highly skilled Credentialing Specialist to join our team at Equiliem Healthcare. As a Credentialing Specialist, you will play a critical role in ensuring the accuracy and completeness of medical staff credentials and privileges. Your attention to detail and organizational skills will be essential in maintaining the confidentiality of sensitive business and medical staff information.

Key Responsibilities:
  • Coordinate the credentialing activities of the Medical Staff and Allied Health Staff, ensuring compliance with Medical Staff Bylaws, Credentialing Policies and Procedures, and federal and state laws and regulations.
  • Provide administrative support to Credentials, General Staff, and other Medical Staff committees and departments as directed.
  • Process requests for temporary privileges and monitor follow-up, in accordance with policies and procedures.
  • Process requests for additional privileges and monitor follow-up, in accordance with policies and procedures.
  • Coordinate verification of professional liability coverage, medical licensure, board certification, BLS, ACLS, ATLS, and/or NRP certifications, and DEA certification, as required.
  • Obtain updated PPD and annual AHP evaluations.
  • Assist with the coordination of annual dues process.
  • Credentialing/Database management.
  • Assist customers in the absence of the Credentialing Assistant and/or Administrative Assistant.
  • Assist with Joint Commission accreditation preparation, as necessary.
  • Assist with coordination of yearly on-call schedule preparation and coordination of Department Director election (every two years).
  • Coordinate preparation and distribution of new committee roster (every two years) and yearly master calendar.
  • Assist with verifications of medical staff membership and clinical privileges of providers from other healthcare facilities.
  • Assist in coordination of medical staff events and functions and other duties assigned.

Requirements:
  • Minimum of three years in a healthcare setting performing credentialing, privileging, and medical staff services functions.
  • Applicant must have a good verbal, written, and telephone communication skills.
  • Must be able to multi-task, attention to detail, and strong interpersonal skills are required.
  • Must be able to work independently and exercise independent judgment regarding the credentialing and privileging of providers as well as other medical staff services' decisions and have the ability to define problems, prioritize issues, and develop and implement solutions.
  • This individual must be a self-starter who functions well in a team providing leadership example by demonstrating exceptional standards in issues such as team work and interpersonal relationship development, reliability, and attendance, professional appearance, and commitment to and participating in quality improvement programs.
  • Must have strong computer experience with database management, Microsoft Office, and Windows applications.
  • Must have experience with Joint Commission and other healthcare regulatory bodies.
  • Physical Requirements: Climbing, stooping, kneeling, reaching, standing, walking, pushing, pulling, lifting, carrying.

Preferred Qualifications:
  • 5+ years of experience from a hospital/health system credentialing physicians and/or advanced practice staff.
  • Strong in Excel and have great attention to detail.
  • Understanding of what needs to be verified, Joint Commission accreditation rules, privileging, license verification, board certifications, anything the provider is licensed to do.
  • Preferred: Cactus/Symplr experience is strongly preferred.
  • Required: 5 years experience in Physician Credentialing and privileging.
  • Preferred: CPCS certified.

Benefits:
  • Medical Insurance
  • Vision & Dental insurance
  • Life Insurance
  • 401K
  • Commuter Benefits
  • Employee Discounts & Rewards
  • Payroll Payment Options

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