Healthcare Credentialing Specialist
4 weeks ago
We are seeking a highly organized and detail-oriented *Medical Credentialing Specialist* to support our medical staff services department. In this role, you will manage and oversee the credentialing and re-credentialing process for healthcare providers, ensuring that all staff are compliant with the necessary standards, regulations, and accrediting agency requirements.
Your responsibilities will include coordinating the credentialing process from start to finish, including document collection, verification, and maintaining accurate records in compliance with industry standards. You will also assist with the preparation for committee meetings, ensuring that the appropriate documentation is processed and distributed in a timely manner.
*Must have 5+ years of experience from a hospital/health system credentialing physicians and/or advanced practice staff. Must be strong in Excel and have great attention to detail. Understanding of what needs to be verified, Joint Commission accreditation rules, privileging, license verification, board certifications, anything the provider is licensed to do.*
*Duration:* 13 week contract
*This position is completely onsite; remote work is not available.*
*Shift:* M-F 8AM-4:40PM
*Hours:* 32-40 hours per week
*Required: *5 years experience in Physician Credentialing and privileging. Strong excel experience.
*Preferred: *CPCS certified
*Attire: *Business Casual
*Responsibilities*
* Coordinate the credentialing activities of the Medical Staff and Allied Health Staff, in accordance with the Medical Staff Bylaws, Credentialing Policies and Procedures of the facility as well as the federal and state law, regulatory and accrediting agencies.
* Provide administrative support to Credentials, General Staff and other Medical Staff committees and departments of the facility as directed.
* Process requests for temporary privileges and monitor all follow-up, in accordance with policies and procedures.
* Process requests for additional privileges and monitor all follow-up, in accordance with policies and procedures.
* Process requests for one-time privileges, visiting physicians and/or student observers.
* 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.
*Required Skills & Experience*
* Minimum of three years in a healthcare setting performing credentialing, privileging, and medical staff services functions.
* Cactus/Symplr experience is strongly preferred
* 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 team work 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 Education*
* High School Diploma or equivalent.
*Preferred Education*
* Associates Degree or equivalent combination of education and related experience.
*Preferred Certifications & Licensure*
* CPCS or CPMSM
If you are passionate about supporting healthcare professionals through the credentialing process and meet the qualifications outlined above, we encourage you to apply for this important role within our organization.
#HC
Job Types: Contract, Temporary
Pay: Up to $35.00 per hour
Expected hours: 32 – 40 per week
Benefits:
* Dental insurance
* Health insurance
* Life insurance
* Vision insurance
Schedule:
* Monday to Friday
Experience:
* Credentialing: 1 year (Required)
Ability to Commute:
* Cincinnati, OH 45212 (Required)
Work Location: In person
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