Credentialing Specialist-Medical Staff Office

Employment Type:

Full time

Shift:

Description:

Posting

Posting

• Posting Job Description
• Mission Statement:·We, St Joseph's Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.Vision:·To be world-renowned for passionate patient care and outstanding clinical outcomes.Core Values:·In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are.POSITION SUMMARY:

Processes credentialing and re-credentialing applications of health care providers, reviews applications, prepares verification letters and maintains database. Is able to handle several situations simultaneously and prioritize accordingly. Must maintain confidentiality. Must be self-directed.

EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:

High school graduate or equivalent, business school or formal secretarial training preferred. Participates in education conferences and in-services. Certified Provider Credentialing Specialist (CPCS) Certification preferred.

Participates in orientation and continuing education. Updates and maintains knowledge and skills related to specific areas of expertise.

SPECIAL EQUIPMENT, SKILLS OR OTHER REQUIREMENTS:

PC and appropriate software knowledge. Knowledge of office equipment and supplies. A solid understanding of department related terminology. Effective communication skills both oral and written as well as good interpersonal, motivational and strong organizational skills including time management required. Customer service orientation.

WORK ENVIRONMENT AND HAZARDS:

Office environment. Exposure class II.

PHYSICAL DEMANDS:

Sedentary work.

WORK CONTACT GROUP:

All services, employees, medical staff, patients, visitors, contractors, vendors, and various regulatory and professional agency staff.

SUPERVISED BY:

Director, Manager, or Coordinator

SUPERVISES:

None

CAREER PATH:

Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) Certification.

General Performance Criteria: Credentialing Specialist

Expectations

Exceeds Meet Below

• Has broad based knowledge of hospital unit/services.
• Adheres to established hospital policy and procedure related to job function.
• Reviews applications and other data for accuracy and completeness.
• Performs verification of reappointment applications by preparing requests for

information letters, tracks responses and follows-up for needed information.

• Obtains licensure, certification and insurance certificates at time of

reappointment and maintains in database.

• Enters accurate and up-to-date data for each applicant into the database and

responds to verification requests.

• Assists in compliance with the accrediting and regulatory agencies in regards

to credentialing while developing and maintaining a working knowledge of

the statutes and laws.

• Responsible for coordination and preparation of medical staff functions;

prepares for committee meetings, takes minutes, processes and distributes

appropriate correspondence.

• Ensures that all expirables are reviewed, obtained and managed on a monthly

basis according to the rules and policies.

• Assists in managing the flow of information between the MSO team,

Credentials and MEC Committee members, Medical Staff Leadership

(including the Service, Department and Section Chairpersons) and the

Vice President for Medical Affairs.

• Assists Medical Staff Services Manager with duties such as making

copies, preparing mailings, attending staff meetings, preparing minutes, etc.

Pay Range based on experience and location: $25.00-$32.50

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.