(NP) Credentialing Specialist

5 days ago

Wake Forest, NC, United States Advocate Aurora Health Full time
Department:

10718 Enterprise Corporate - Physician Services

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Weekdays

Pay Range
$23.65 - $35.50

JOB SUMMARY:

Provides clerical support for the medical staff including timely compilation and coordination of all credentialing and reappointment processes, coordinating medical staff related meetings, maintaining all medical staff files, and being part of a team that aspires to ensure quality, timeliness and clear communication.

EDUCATION/EXPERIENCE:
  • High school diploma and two years' administrative/clerical or healthcare experience.
  • Associate's degree with certification in Medical Office administration preferred.
  • Medical staff credentialing experience preferred.
ESSENTIAL FUNCTIONS:
  • Performs primary source verification for both initial appointment/credentialing and re-credentialing.
  • Conducts annual monitoring of medical licensure of all credentialed providers and maintains current, accurate documentation relative to credentialing files.
  • Monitors and confirms focused evaluation (FPPE) completed at time of initial appointment for all new providers.
  • Assures appropriate departments are notified of approval of new providers. Verifies previous appointments as providers who have left the Medical Center.
  • Monitors and confirms ongoing evaluation (OPPE) completed two times annually for all active providers.
  • Actively participates in all audits, i.e. Managed Care, Medicare, state licensure, etc.
  • Actively participates in all surveys, i.e. Joint Commission, Medicare, all disease specific surveys, etc.
  • Provides support for medical staff including preparing and distributing agendas and related materials for medical staff departmental and committee meetings, Medical Staff Executive Committee and Full Medical Staff Meetings.
  • Supports and assists affiliate hospital medical staff offices.
  • Provides information relative to medical staff and allied health professionals to other departments and external agencies, as appropriate, with due confidentiality, in a timely manner.
  • Provides support for updating and revising medical staff documents, i.e., Bylaws, Rules and Regulations.
  • Maintains a working knowledge of the Medical Staff Bylaws, Rules and Regulations, Credentialing Manual, and Fair Hearing Plan.
  • Remains current with Joint Commission Medical Staff Standards, state and federal laws related to medical staff.
  • Prepares medical staff dues statements and collects dues.
  • Maintains medical staff checking account and makes deposits as needed.
Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:

Compensation
  • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
  • Premium pay such as shift, on call, and more based on a teammate's job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance
Benefits and more
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program


About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

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