Credentialing Specialist Full Time
Credentialing Specialist Full Time
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Job Description
Job Summary :
To join a dynamic department that actively leads and supports operational outcomes at Hendricks Regional Health (HRH). Assists and collaborates with Medical Staff Office needs and requests. Provides professional leadership to support the hospitals strategic plan goals and mission.Job Description
Essential Responsibilities:
- Assist in all aspects of new provider enrollment and onboarding.
- Serve as backup to the Med Staff Coordinator and Senior Payor Enrollment Coordinator when needed.
- Participates in administrative duties as requested by department leadership including but not limited to committee/meeting preparations special events and retreats.
- Ability to work in multiple systems for data management and tracking purposes.
- Maintain and exceed quantity and quality goals and standards set by the department.
- Additional responsibilities as assigned include assisting with committees and reporting.
Skills and Abilities:
- Knowledge of Government/ Medicare/ Regulatory Agency requirements relating to credentialing.
- Knowledge of federal/state licensures and certificates for health care entities or practitioners e.g.: CLIA DEA Certificates CDS/Controlled Substance Licenses BLS Certificates etc.
- Knowledge of federal registers and retrieval of information
- Knowledge of the business documents required to complete the Ownership and Management Sections for Medicare Medicaid and Payer applications.
- HIPAA knowledge as applies to contracting credentialing and enrollment for health care entities and/or health care professionals.
- Ability to create and maintain profiles in PECOS CAQH NPPES Availity and other databases as required.
- Ability to learn and navigate credentialing software
- Ability to support multiple team members and Client Projects simultaneously and prioritize in a fastpaced environment
- Ability to multitask and work independently.
- Must have excellent communication skills and ability to interact with a diverse population.
- Strong team working and collaborative skills.
- Demonstrate sound judgment handle confidential information and always keep a professional demeanor
Please note this job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the associate for this job. Duties responsibilities and activities may change at any time with or without notice.
Education and Experience:
Must possess strong interpersonal skills with a high sensitivity to the needs of others including the ability to communicate effectively with staff administrators providers and payors.
- Must have high school diploma or equivalent
- Associates degree or higher preferred
- NAMSS CPCS or CPES certification(s) preferred (National Association of Medical Staff Services)
- Preferred minimum of two years experience in Medical Staff Office setting (i.e. contracting credentialing and enrollment for health care professionals and/or organizations).
- Professional organizational skills written and oral communication and customer service skills particularly in dealing with personal interactions.
- Demonstrated ability and experience in computer applications (MS office products) use of electronic medical record keeping systems and MS Office. Comprehensive understanding of medical terminology.
Work Shift :
Varied Shifts (United States of America)Scheduled Weekly Hours :
40Required Experience:
Unclear Seniority
Employment Type
Full-Time
