Credentialing Specialist
5 days ago
At Springfield Hospital, we are seeking a highly skilled Credentialing Specialist to join our team. The successful candidate will play a critical role in ensuring the quality and integrity of our healthcare services.
Key Responsibilities:- Support departmental activities to ensure quality in conducting, maintaining, and communicating practitioner credentialing and privileging.
- Serve as an essential link and resource between senior management and medical staff to coordinate operational processes and medical staff governance functions.
- Review, analyze, and follow up with our CVO and internal team to ensure that healthcare professionals are properly credentialed and compliant with all regulatory and organizational standards.
- Maintain the integrity and quality of our healthcare services, ensuring that all providers meet the necessary standards to deliver safe and effective care.
- Work closely with healthcare providers, administrative staff, and regulatory bodies to ensure that all credentialing activities are completed accurately and efficiently.
- Associate degree; prior work history may be considered in lieu of a degree.
- Experience in a hospital or other healthcare setting.
- Certification as a Certified Provider Credentialing Specialist (CPCS) (preferred).
- Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, etc.).
- Knowledge of medical credentialing procedures and standards.
- Knowledge of related accreditation and certification requirements.
- Working knowledge of clinical and/or hospital operations and procedures.
- Knowledge of clinical privilege criteria development.
- Knowledge of medical staff policies, regulations, and bylaws and the legal environment within which they operate.
- Ability to analyze, interpret, and draw inferences from research findings, and prepare reports.
- Ability to communicate effectively, both orally and in writing, with all levels of the organization.
- Ability to use independent judgment and to manage and impart confidential information.
- Knowledge of project management principles, practices, techniques, and tools.
- Database management skills including query and report generation.
- Ability to make administrative/procedural decisions and judgments.
- Ability to work collaboratively with Credentialing Verification Organization.
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Credentialing Specialist
6 days ago
Springfield, United States Springfield Hospital Full timeJob Type Full-time Description The Credentialing Specialist will: Support departmental activities to ensure quality in conducting, maintaining, and communicating practitioner credentialing and privileging while ensuring medical staff functions are compliant with internal bylaws, governing bodies and external regulatory agencies. Serve as an essential link...
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