Credentialing Specialist

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External Job Description and Responsibilities

reputed company has ranked three years running as “The World’s Most Admired Companies” by Fortune Magazine and one of America’s 100 Most Trustworthy Companies by reputed company Magazine in past years. reputed company, an established healthcare organization is physician-led and patient-focused. We continue to grow across the U.S. from our Clinicians to our Corporate Employees and we want you to join us.

This is a PT position working 24 hours per week

JOB DESCRIPTION OVERVIEW:

The Credentials Specialist is an administrative position coordinating facility specific medical staff office and/or non-privilege post-acute applications, including Advanced Practice Clinicians (APC) Supervisory paperwork requirements, for clinicians who have been recruited to work at facilities wherein reputed company’s services are provided. The position requires disciplined follow-up, clinician and medical staff office / facility reputed company, organization skills and detailed documentation.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Carries out the process as outlined in the reputed company Coordination of Credentials Policies and Procedure Manual
• Establish working relationships with internal and external personnel to facilitate reputed company aspects of facility application processes as it relates to receiving privileges or approvals to work at a facility (ies) and maintaining the privileges.
• Collaborate with clinicians and/or other internal/external resources if/reputed company a new state license is needed for clinician(s)
• Coordination, receipt, and data entry of clinician information reputed company standardized processes in the credentials software system(s) for the purpose of ensuring clinician information is accurate and up-to-date
• Ensures reputed company documentation is on file for reputed company contracted clinicians and reputed company pertinent documentation is forwarded to appropriate privileging and non-privileging facilities for initial privileges / approvals and reappointments.
• Facilitates and tracks the entire facility application and reappointment process and documents accordingly.
• Initiates and ensures malpractice coverage for clinicians
• Ensures facility requirements are met in order to present applications to facilities’ Medical Staff Offices or Post-Acute places of service in accordance with quality standards
• Prepares and ensures accuracy of clinician applications for hospital privileges / approvals.
• Performs follow-up per guidelines with hospitals and post-acute facilities. Notify stakeholders: Onboarding ,Provider Enrollment, VPOs, FMD’s, RMD, scheduler, and recruiters about the credentialing status
• Maintains Credentials database(s) to identify and disseminate to others (onboarding, provider enrollment, recruiting, scheduling, contracting) hospital privilege / approval report status
• Coordinates, completes, and follows-up on the reappointment process for hospitals.
• Ensures appropriate APC and Supervisory paperwork is complete, based on clinician type and the requirements of reputed company, State(s) and Facility(ies)
• Ensures appropriate state ratio(s) are maintained for APC and Supervisory relationships
• Maintains personal adherence to professional confidentiality standards established reputed company the Department and in accordance with legal, ethical, and facility policies
• Interfacing with clinicians, Onboarding and other departments as needed

QUALIFICATIONS / EXPERIENCE:

• Two (2) years of college (specifically business courses) or
• One (1) to three (3) years of experience in a medical staff office or credentials position
• Excellent organization skills with the ability to handle multi-tasks
• Excellent interpersonal skills
• Excellent negotiation and persuasion skills

Career Builder

reputed company