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Credentialing Specialist

1 month ago

Oneonta, New York, United States A.O. Fox Full time
Overview:

We are seeking a skilled Credentialing Specialist to join our team at A.O. Fox. As a key member of our Medical Staff Affairs department, you will play a vital role in ensuring the accuracy and integrity of our credentialing database system.

Your primary responsibility will be to lead, coordinate, and monitor the credentialing and re-credentialing process, ensuring compliance with regulatory agencies and Medical Staff Policies and Procedures.

You will work closely with our Manager of Medical Staff Affairs, Physician Recruiters, Clinical Chiefs, and other personnel to provide diversified, high-quality, and confidential credentialing services.

Key responsibilities include processing initial and reappointment applications, performing primary source verification, and maintaining confidentiality of all credentialing information.

If you are a detail-oriented and organized individual with excellent communication skills, we encourage you to apply for this exciting opportunity.

Responsibilities:

  • Process initial and reappointment applications within three days of receipt from applicant with 95-100% accuracy
  • Perform primary source verification on all practitioners, including sending letters to verify licensure, board certification, education, internship, residency, fellowship, references, NPDB, Medicare/Medicaid sanctions, etc.
  • Maintain confidentiality of all credentialing information as noted in the Medical Staff Policy and Procedure Manual
  • Assemble all credentialing packets for presentation to the Credentials Committee of the Medical Staff
  • Communicate regularly with the practitioner and Clinical Chief regarding the credentialing status
  • Conduct regular internal audits of the credentialing files to ensure compliance with regulatory agencies, Medical Staff Policies and Procedures, and Bylaws

Qualifications:

  • High School Diploma or equivalent, required
  • 2 Year / Associate degree, preferred
  • Minimum 1 year administrative support or business office experience, required
  • Minimum 1 year experience with extensive public contact and customer service, required

Skills:

  • Organizing/Categorizing records
  • Communication
  • Attention to Detail
  • Analysis & Evaluation
  • Computer Skills
  • Maintain Confidentiality
  • Reading/Writing/Comprehension
  • Build Relationships
  • Time Management
  • Self-Motivated

Physical Requirements:

Sedentary Work - Exerting up to 10 lbs of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.

Sedentary work involves sitting most of the time. Jobs are sedentary if walking or standing are required only occasionally, and all other sedentary criteria are met

Occasional lifting, pulling, pushing, reaching, standing, stooping, walking

Constant typing/clerical/dexterity, grasping, hearing, repetitive motion, seeing/monitor/computer use, talking, visual acuity

Travel:

Occasional Travel - The job may require travel from time- to-time, but not on a regular basis

Total Rewards:

Bassett Healthcare Networks commitment to our employees includes benefit programs carefully designed with the needs and values of all our employees in mind.

Many of the benefits we offer are paid fully or in large part by Bassett.

Our generous benefits offerings include:

  • Paid time off, including company holidays, vacation, and sick time
  • Medical, dental and vision insurance
  • Life insurance and disability protection
  • Retirement benefits including an employer match
  • And more

Pay Transparency Statement (Text Only):

Salary is based on a variety of factors, including, but not limited to, qualifications, experience, education, licenses, specialty, training, and fair market evaluation based on industry standards.

The above compensation range represents a good faith belief of the compensation range by Bassett Healthcare Network, and its entities and affiliates, at the time of this posting or advertisement.

EEO Statement (Text Only):

We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex (including pregnancy, childbirth, or related condition), age, national origin or ancestry, citizenship, disability, marital status, sexual orientation, gender identity or expression (including transgender status), genetic predisposition or carrier status, military or veteran status, familial status, status as a victim of domestic violence, or any other status protected by law.