Credentialing Specialist
2 weeks ago
Responsible for coordinating and preparing medical staff functions, including preparing for committee meetings, taking minutes, processing and distributing correspondence, and assisting with the development, planning, and implementation of the credentialing and privileging process.
Ensures compliance with accrediting and regulatory agencies, such as the Joint Commission and NCQA, regarding credentialing and privileges. Develops and maintains a working knowledge of statues and laws.
Maintains confidentiality of business and medical staff information. Assists in managing the flow of information between medical staff services, Credentials Committee, and MEC Committee, medical staff leadership, and Chief Medical Officer.
Manages the FPPE process and the integration of OPPE during reappointment.
Key Responsibilities:
- Coordinate credentialing activities of the Medical Staff and Allied Health Staff, in accordance with Medical Staff Bylaws, Credentialing Policies and Procedures, and federal and state law, regulatory, and accrediting agencies.
- Provide administrative support to Credentials, General Staff, and other Medical Staff committees and departments.
- 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.
- Process requests for one-time privileges, visiting physicians, and/or student observers.
- 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.
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