Credentialing Specialist PRN

4 days ago


Clarksburg, West Virginia, United States Highland-Clarksburg Hospital Full time
Job Summary

The Highland-Clarksburg Hospital is seeking a skilled Credentialing Specialist PRN to join our team. As a key member of our medical staff services department, you will be responsible for ensuring the accuracy and completeness of medical staff credentials and privileges.

Key Responsibilities
  • Prepares and maintains accurate and up-to-date medical staff credentials and privileges
  • Ensures compliance with regulatory requirements and hospital policies
  • Coordinates medical staff meetings and events
  • Provides educational and regulatory instruction to residents, faculty, and staff
  • Monitors quality outcomes and reports to The Joint Commission
  • Assists in the development of schedules and processes to ensure compliance with regulatory agencies
  • Coordinates hiring processes, including background checks, credentialing, and required training certifications
  • Supervises medical staff personnel to ensure credentialing activities are complete and compliant
Requirements
  • High school diploma or equivalent required; Bachelor's degree preferred
  • Knowledge of medical billing and collection procedures required
  • Experience with completing insurance applications and medical provider credentialing applications required
  • Previous clinical experience in a psychiatric setting highly desirable
  • Notary Public required within 90 days of employment
Language Skills

Ability to read and interpret instructions, documents, and follow procedures. Ability to write reports and speak effectively with employees and the public.

Reasoning Ability

Ability to solve practical problems and deal with a variety of variables as needed. Identifies and resolves problems in a timely manner, gathers and analyzes information skillfully.

Other Skills and Abilities
  • Planning/organizing-prioritizes and plans work activities and uses time efficiently
  • Quality control-demonstrates accuracy and thoroughness
  • Quantity-meets productivity standards and completes work in a timely manner
  • Adaptability-adapts to changes in the work environment, manages competing demands, and is able to deal with frequent change, delays, or unexpected events
Physical Demands

The physical demands described herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.



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