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Credentialing Specialist

2 months ago

Daly City, California, United States AHMC HealthCare Full time

Job Summary

The Credentialing Coordinator is responsible for coordinating all aspects of medical staff and allied health professional credentialing at AHMC HealthCare. This includes processing new applications, reappointments, and resignations, as well as maintaining and updating privilege lists.

Key Responsibilities

  • Coordinate the credentialing process for medical staff and allied health professionals, including processing new applicants, reappointments, and resignations.
  • Maintain and update all privilege lists for medical staff and allied health professionals.
  • Function as super-user and trainer for the physician database, communicating with the database help desk as needed.
  • Coordinate monthly Credentials Committee, Interdisciplinary Practice Committee, and quarterly Department meetings, including preparing agenda packets, securing physician reviewers, writing minutes, and following up on outstanding issues.
  • Prepare monthly hospital board report.
  • Monitor physician and allied health professional proctoring and follow up on delinquencies.
  • Maintain current knowledge about the JCAHO credentialing and privileging process.
  • Maintain orderly, complete, and survey-ready credentials files.
  • Secure all required documents for credentialing medical staff and allied health professionals and follow up on delinquencies.
  • Obtain required credentialing QA information from various hospital departments.

Requirements

  • Bachelor's degree preferred.
  • Prior experience with credentialing and privileging.
  • Writing meeting summaries and transcribing meeting minutes.
  • Prior credentialing database experience desirable.
  • Certified Provider Credentialing Specialist (CPCS) desirable.

Skills and Abilities

  • Detail-oriented with ability to process large amounts of paperwork with a high degree of accuracy.
  • Ability to work with a high volume of credentials files and meet tight deadlines.
  • Willingness to keep up to date with changing regulatory requirements.
  • Excellent interpersonal skills.
  • Medical terminology highly desirable.