Credentialing Specialist SCH

2 days ago

Buffalo, New York, United States Catholic Health System Full time

Salary: USD

Facility: Sisters of Charity Hospital

Shift: Shift 1

Status: Full Time FTE:

Bargaining Unit: ACE Associates

Exempt from Overtime: Exempt: No

Work Schedule: Days

Hours: 7a-3p or 8a-4p

Summary:

The Credentialing Specialist is responsible for assisting with the process of electronic credentialing and privileging of Medical Staff members in accordance with the Medical Staff Bylaws, Joint Commission standards and the Center for Medicare/Medicaid Services (CMS) and New York State regulatory requirements. . This requires electronic collection, processing and organizing significant amounts of verification data. The database maintained includes education, training, licensure and experience content. The Credentialing Specialist shall assist the Supervisor Medical Office Staff when required. May perform duties for members of the Medical Staff and assist with Medical Staff committees as required.

Responsibilities:

EDUCATION

  • A.A.S. Degree or equivalent certificate program required
  • In lieu of an Associate's degree, a minimum of three (3) years of direct credentialing experience required
  • Certified Provider Credentialing Specialist (CPCS) Certification desired

EXPERIENCE

  • Three (3) years of experience in a health care related field
  • CVO/MSO or office credentialing experience preferred
  • Web based credentialing and privileging software experience preferred
  • Experience with Physician credentialing strongly preferred

KNOWLEDGE, SKILL AND ABILITY

  • Strong Microsoft Office skills, knowledge of Word, Excel, Outlook, Adobe Acrobat knowledge of automated Medical Staff or physician office systems preferred
  • Strong critical thinking skills
  • Must have a high degree of integrity that is aligned with the values of the organization
  • Ability to multitask
  • Strong communication skills, both oral and written
  • Ability to establish priorities and ability to work well under pressure
  • Ability to provide work of high quality and accuracy
  • Resourceful with strong research skills
  • Strong interpersonal skills
  • Good judgment, common sense and diplomacy
  • Solid organizational skills
  • Ability to work independently
  • Ability to analyze data and prepare meaningful reports
  • Ability to identify, react, and follow through in an appropriate manner in credentialing matters
  • Must remain confidential on all Medical Staff matters
  • Must be knowledgeable of JC/NYS 405 Standards as they apply to Medical Staff credentialing

WORKING CONDITIONS

  • Normal heat, light space, and safe working environment; typical of most office jobs
  • Individual may be required to travel to other CH facilities for staff meetings/staff training

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