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Credentialing Specialist
2 months ago
We are seeking a highly skilled Credentialing Coordinator to join our team at HirePower. As a key member of our medical staff services team, you will be 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.
Key Responsibilities- Ensure compliance with accrediting and regulatory agencies, including the Joint Commission and NCQA, regarding credentialing and privileges.
- Review, obtain, and manage expirable documents monthly according to rules and policies.
- Maintain confidentiality of all business and medical staff information.
- Coordinate the 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.
- 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.
- 5 years' experience in Physician Credentialing and privileging. Strong Excel experience.
- 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 teamwork 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.
- Required: High School Diploma or equivalent.
- Preferred: Associate degree or equivalent combination of education and related experience.
- Preferred Certifications & Licensure: CPCS or CPMSM
- Shift Time: M-F 8AM-4:40PM
- Attire: Business Casual
We are an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status, or other characteristics protected by law.
