Credentialing Specialist
Credentialing Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Position Highlights:
- Location: Winston Salem North Carolina
- Full Time
What We Offer:
- Day 1 Health Coverage:Choose from either copay or HSAeligible health insurance options with coverage starting on your first day of work.
- Generous PTO:Accrual starts at up to 25 days/year to be used for vacations sickness holidays and personal matters.
- Parental Benefits:Six weeks paid birthingmother maternity leave & four weeks paid parental leave for nonbirthing parents.
- Retirement:Up to 7 employerpaid retirement contributions
- Education Reimbursement:We invest in your professional growth offering up to $2500 per year towards a bachelors degree and up to $5000 per year towards a graduate degree.
Job Summary:
Provides clerical support for the medical staff including timely compilation and coordination of all credentialing and reappointment processes coordinating medical staff related meetings maintaining all medical staff files and being part of a team that aspires to ensure quality timeliness and clear communication.
What Youll Need:
- High school diploma and two years administrative/clerical or healthcare experience.
- Associates degree with certification in Medical Office administration preferred.
- Medical staff credentialing experience preferred.
What Youll Do:
- Performs primary source verification for both initial appointment/credentialing and recredentialing.
- Conducts annual monitoring of medical licensure of all credentialed providers and maintains current accurate documentation relative to credentialing files.
- Monitors and confirms focused evaluation (FPPE) completed at time of initial appointment for all new providers.
- Assures appropriate departments are notified of approval of new providers.
- Verifies previous appointments as providers who have left the Medical Center.
- Monitors and confirms ongoing evaluation (OPPE) completed two times annually for all active providers.
- Actively participates in all audits i.e. Managed Care Medicare state licensure etc.
- Actively participates in all surveys i.e. Joint Commission Medicare all disease specific surveys etc.
- Provides support for medical staff including preparing and distributing agendas and related materials for medical staff departmental and committee meetings Medical Staff Executive Committee and Full Medical Staff Meetings.
- Supports and assists affiliate hospital medical staff offices.
- Provides information relative to medical staff and allied health professionals to other departments and external agencies as appropriate with due confidentiality in a timely manner.
- Provides support for updating and revising medical staff documents i.e. Bylaws Rules and Regulations.
- Maintains a working knowledge of the Medical Staff Bylaws Rules and Regulations Credentialing Manual and Fair Hearing Plan.
- Remains current with Joint Commission Medical Staff Standards state and federal laws related to medical staff.
- Prepares medical staff dues statements and collects dues. Maintains medical staff checking account and makes deposits as needed.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
