Credentialing and Verification Office Specialist
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Job Location:
Springfield, VT - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Min
Max
Overview
The Credentialing & Verification Office Specialist supports the Manager of Credentialing and Medical Staff Services in coordinating and executing all aspects of provider credentialing and verification. This role is responsible for ensuring accuracy compliance and timeliness in the processing of initial applications and reappointments for Memorial Health Medical Staff while contributing to process improvements and operational efficiency.
Highlights & Benefits
Paid Time Off (PTO)
Memorial Childcare
Mental Health Services
Growth Opportunities
Continuing Education
Local and National Discounts
Pet Insurance
Medical Dental Vision
Flexible Spending Account
401(k)
Life Insurance and Voluntary Benefits
Employee Assistance Program and Colleague Wellness
Adoption Assistance
Qualifications
Education:
High School diploma required.
Licensure/Certification/Registry:
Successful completion (or on track to sit for the exam within 3 years of assuming this position) and ongoing maintenance of the Medical Services Management (CPMSM) and/or Provider Credentialing Specialist (CPCS) certifications.
Experience:
A minimum of 3 years experience in credentialing/medical staff services is preferred.
Proven experience in maintaining collegial working relationships with physicians allied health professionals and members of the leadership team.
Other Knowledge/Skills/Abilities:
Excellent verbal and communication skills are required.
Computer experience required.
Must possess knowledge of medical terminology.
Proven team player.
Responsibilities
Responsible for credentialing Medical Staff initial applicants and reapplicants to Memorial Health Hospitals under the oversight of the Manager Credentialing and Medical Staff Services.
Oversees the practitioner credentialing database ensuring accurate and current information is available to all stakeholders.
Participates in the development and implementation of credentialing processes and procedures.
Audits assesses procures implements effectively utilizes and maintains practitioner/provider credentialing processes and information systems (e.g. files reports minutes databases) by analyzing the needs and resources of medical services/credentialing.
Supports MH affiliate hospital Medical Staff Offices in the privileging process.
Ensures that policies procedures and mechanisms to support the credentialing process in accordance with Medical Staff Bylaws Rules and Regulations and in compliance with standards of all external regulatory and accrediting bodies.
Provides administrative support required to ensure effective management and coordination of the medical/allied health professional staff credentialing processes.
Embodies the Memorial Health Performance Excellence Standards of Safety Courtesy Quality and Efficiency that support our mission vision and values:
SAFETY: Prevent Harm I put safety first in everything I do. I take action to ensure the safety of others.
COURTESY: Serve Others I treat others with dignity and respect. I project a professional image and positive attitude.
QUALITY: Improve Outcomes I continually advance my knowledge skills and performance. I work with others to achieve superior results.
EFFICIENCY: Reduce Waste I use time and resources wisely. I prevent defects and delays.
Maintains cooperative and supporting working relationships with all individuals who have involvement with organized the Credentialing and Verification Office.
Maintains a commitment to the MH mission vision values goals and behavioral standards.
Performs other related work as required or requested.
The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform tasks other than those specifically presented in this description.
Required Experience:
IC
