Credentialing Specialist

1 week ago

Williamsport, PA, United States UPMC Full time

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The Medical Staff Services department at UPMC Williamsport is seeking a full-time Credentialing Specialist

In this role, you will facilitate the credentialing, privileging, and monitoring process for physicians and allied health professionals. Responsibilities include managing applications, performing primary source verification, and ensuring the accuracy and integrity of the credentialing and clinical privileging database system. This is a full-time, 40-hour work week shift with a shift of 7A - 3:30PM.

Responsibilities:

  • Coordinates privileges process including preparation and presentation of requested privileges with validated qualifications to the Medical Staff Credentials Committee.

  • Provides office support for the department and the medical staff.

  • Ensures the accuracy and integrity of the credentialing and clinical privileging database system.

  • Establishes and ensures effective monitoring process of new physicians as prescribed by the departmental bylaws.

  • Establishes and tracks data related to Medical Staff recruitment and resignations.

  • Make appropriate arrangements for meeting rooms and food services.

  • Know and follow all organizational/departmental policies/procedures.

  • Actively practice behaviors associated with SH Service Excellence expectations. Smile at and greet everyone enthusiastically, treat everyone with respect, dignity and C.A.R.E. Be an ambassador for Susquehanna Health. Provide the best C.A.R.E. for our patients no matter what.

  • Assume responsibility for personal development and education.

  • Provides support for the reappointment process.

  • Commit to high quality, safe work; encourage others to have similar standards. Identify processes/systems that could lead to inefficient practices, unsafe conditions, errors or adverse events. Avoid shortcuts to ensure quality and safety measures are not circumvented. Encourage patient and family involvement in processes involving patient safety. Understand that patient safety is everyone's responsibility. Assume responsibility for personal education and performance related to patient safety; report unsafe conditions or events immediately; speak up in a non confrontational and educational manner when seeing a safety breech; develop or participate in a project or action plan to reduce risk or mitigate harm for patients, as appropriate.

  • Prepares agendas, attends assigned meetings and authors minutes.

  • Participates in developing strategies to improve on the attainment, development and consistency of the credentialing process.

  • Leads the Medical Staff Leadership towards the successful completion of all credentialing including primary source verification and other application data validation.

  • Associates Degree in secretarial science or a related field, or equivalent combination of education and experience required.

  • Three years of progressively responsible administrative support experience required.

  • Three years of credentialing experience preferred.Licensure, Certifications, and Clearances:

  • Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran

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