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Credentialing Specialist
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Credentialing Specialist

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Job Description

Credentialing Specialist-

 

Daily responsibilities: Processing Initial and Reappointment Applications.

Under minimal supervision, initiates the appointment/credentialing and reappointment/re-credentialing process, compiling and processing data in compliance with local, regional, state and federal accreditation requirements. Ensures thorough and timely verification of Licensed Independent Practitioner's (LIP) and Allied Health Professional Staff (AHP) credentials and privileges according to local and regional medical staff services policies and procedures for practitioners in both the hospital and/or ambulatory settings. Provide medical staff service support services to professional staff by supporting professional staff committee meetings, initiating the proctoring function, tracking of residents/medical students and acting as a resource for physicians, allied health professionals, medical center leadership and patients. Completes specific time-limited project assignments as delegated by Director of Medical Staff Services or Senior Medical Staff Coordinator. This position does not supervise others.

 

Essential Functions:

  • Ensure consistent documentation and complete verification of practitioner (LIP/AHP) credentials.

  • Provide required documentation to Chiefs of Service, Department Administrators, Medical Center Leaders and Committee Chairs/Members, as appropriate.

  • Process all applications for appointment/credentialing, reappointment/re-credentialing via the local and regional medical staff/credentialing policies and procedures.

  • Partners with all necessary staff to ensure an integrated, timely, consistent product.

  • Collaborates with regional professional recruitment personnel and regional credentialing personnel to ensure timely credentialing prior to employment.

  • Maintains computerized database of practitioner data for use in the medical staff service program to assure data for all credentialed and privileged practitioners is consistently accurate and current.

  • Implements an efficient and effective communication system for transmission of electronic practitioner data to other users in the medical center for information (i.e., practitioner-specific privilege look-up for patient care units).

  • Implements an efficient and effective communication/transmission system of shared data to regional or other local sites to facilitate timely approval for professional staff appointment or approval to participate within Southern California Region.

  • Keeps abreast of laws, regulations, local and regional policies/procedures and Professional Staff Bylaws, Rules and Regulations.

  • Maintains credentials files of all practitioners within medical center site (including satellite facilities/medical office buildings).

  • Supports professional staff committees by preparing agendas, recording minutes and follow-up.

  • Supports the medical staff by being a resource for accreditation, licensing and regulatory compliance related to medical staff services functions.

  • Assists Director of Medical Staff Services with all survey/audit processes.

Job Requirements

Required skills:

Credentialing experience in an Acute Care setting.

Job Snapshot

Employment Type Contractor
Job Type Admin - Clerical
Education Not Specified
Experience Not Specified
Manages Others Not Specified
Industry Healthcare - Health Services
Required Travel Not Specified
Job ID lsATR104758
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Credentialing Specialist


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