Credentialing Coordinator II

4 weeks ago


Cambridge, Massachusetts, United States Cambridge Health Alliance Full time

pbCredentialingCoordinatorIIJobSummary/b/ppCambridgeHealthAllianceisseekingaskilledCredentialingCoordinatorIItolead,coordinate,andmaintainthecredentialingandre-credentialingprocess.Thisroleisresponsibleforfacilitatingallaspectsofcredentialing,includinginitialappointment,reappointment,expirablesprocess,andclinicalprivilegesforMedicalStaff,AlliedHealthProfessionals,andotherapplicablestaff./ppbKeyResponsibilities:/b/pulliEnsureinterpretationandcompliancewithaccreditingandregulatoryagencies,developingandmaintainingaworkingknowledgeofstatuesandlawsrelatingtocredentialing./liliAccuratelymaintainthecredentialingdatabasesystemandrelatedapplications./liliConductthoroughbackgroundinvestigations,research,andprimarysourceverificationofallcomponentsoftheapplicationfile./liliIdentifyissuesrequiringadditionalinvestigationandevaluation,validatediscrepancies,andensureappropriatefollow-up./liliPreparecredentialsfilesforcompletionandpresentationtoMedicalStaffCommittees,ensuringfilecompletionwithinspecifiedtimeperiods./liliProcessrequestsforprivileges,ensuringcompliancewithcriteriaoutlinedinclinicalprivilegedescriptions./liliRespondtoinquiriesfromotherhealthcareorganizationsandinterfacewithinternalandexternalcustomersonday-to-daycredentialingandprivilegingissues./liliAssistwithmanagedcaredelegatedcredentialingauditsandconductinternalfileaudits./liliUtilizecredentialingdatabasesoftware,optimizingefficiency,andperformquery,report,anddocumentgeneration./li/ulpbQualifications:/b/pulliAtleast2yearsofexperiencewithhospitalmedicalstafformanagedcarecredentialing./liliExcellentskillsinMicrosoftandGoogleApplications./liliKnowledgeofdatabasemanagement./liliFamiliaritywithIntellisoftCredentialingSoftwarepreferred./liliSuperiorattentiontodetailandcommunicationskills./liliAbilitytotrackandmonitorallcredentialingfiles./liliKnowledgeofprimarysourceverification./liliAbilitytodealwithconfidentialandsensitiveinformation./li/ul



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