Specialist-Credentialing
Job ID: 45219
Job Category: Administrative Non Clinical Support
Work Type: Full Time
Work Schedule: Days
Department: Credentialing
Facility: BMHCC System Services
Location: Memphis, TN
Overview
Job Summary
Assists with the operational administration of the credentialing and recredentialing/reappointment processes. Executes daily tasks based on implemented policies and procedures to assure compliance with applicable credentialing standards including The Joint Commission, NCQA and/or accrediting and regulatory bodies. Coordinates with appropriate leaders and facility/office contacts during initial appointment and recredential/reappointment process to meet set deadlines/committee approvals. Assists with file/report preparation and planning for Committee/Board review as well as other regulatory surveys/audits. Performs other duties as assigned.
Responsibilities
- Administers credentialing, recredentialing/reappointment and privileging process for designated providers assuring compliance with applicable accrediting and regulatory standards.
- Coordinates verification of documentation and associated information assuring accuracy and timely follow-up.
- Administers and maintains comprehensive practitioner databases and files with particular emphasis on integrity and completeness of documentation.
- Provides status reports, ad hoc queries, and other documents and summaries as requested.
- Provides administrative support to appropriate leaders and applicable committees to assist them in carrying out their responsibilities and complying with the requirements outlined in the Bylaws, Policy/Procedures and Hospital Rules and Regulations.
- Executes daily tasks and special assignments to assure compliance with production and quality standards as well as fostering team approach.
- Completes assigned goals.
Specifications
Experience
Minimum Required
- Three years office experience in a health care or business environment providing administrative or support services. Previous credentialing experience.
Preferred/Desired
Education
Minimum Required
- Completion of Associate''s Degree in office administration, business, computer science or related field or equivalent experience.
Preferred/Desired
Training
Minimum Required
Preferred/Desired
Special Skills
Minimum Required
- Knowledge and proficiency in the use of personal computers including Microsoft Office solutions e.g. Word and Excel.
Preferred/Desired
Licensure
Minimum Required
Preferred/Desired
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