Medical Staff Credentialing Specialist

2 weeks ago


Santa Monica, California, United States Compu-Vision Consulting Full time
Job Title: Medical Staff Credentialing Specialist

Compu-Vision Consulting is seeking a highly skilled Medical Staff Credentialing Specialist to join our team. As a key member of our Medical Staff Office, you will play a critical role in ensuring the efficient and effective credentialing process for our medical staff.

Key Responsibilities:
  • Provide support to the medical staff organization activities in a high-volume, goal-driven environment.
  • Act as the point of contact with department management, medical staff, and hospital leadership to ensure compliance and optimal efficiency for appropriate membership and privileges.
  • Maintain the privileging process for members of the Medical Staff and perform auditing functions pursuant to facility Bylaws, Rules and Regulations, Credentialing Policy and Procedures, and other applicable accreditation/payor standards.
  • Work independently and collaboratively with colleagues in the Medical Staff Office, Credentials Verification office, Clinical Service Coordinators, and other staff within the Medical Center to facilitate continuous process improvement efforts.
Requirements:
  • Three years' experience in healthcare credentialing (i.e., credentials verification organization, or Medical Staff Office).
  • Working knowledge of the healthcare and credentialing industry, regulatory agencies, and other national standards (TJC, NCQA, HC).
  • Experience working with MDStaff.
  • Experience with Primary Source Verification, principles pertaining to FPPE, OPPE, and Privileging.
  • Experience working with Microsoft Office (Excel, Word, Outlook) and Adobe Acrobat.
Preferred Experience:
  • Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM).
  • Previous experience with auditing Initial and Reappointment files for Physicians, Dentist, and APPs.
Interview Process:

The interview process will consist of a phone interview followed by a panel interview via Zoom.



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