DescriptionSpecialist-Credentialing Senior
Job Code: 21433
FLSA Status
Job Family: ADMIN SUPPORT
Job Summary
Supports management with operational administration of the system credentialing and recredentialing/reappointment process. Monitors and 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. Supports management by assisting with the following: committee preparation facilitation and follow-up for committee review preparation and participation in audits/surveys and subsequent system updates.
Job Responsibilities
- Administers credentialing/recredentialing/reappointment process for designated providers assuring compliance with applicable accrediting and regulatory standards. Executes the process in accordance with appropriate bylaws hospital rules regulations and policies/procedures to assure that only qualified practitioners provide care.
|
- Coordinates verification of documentation and information assuring accuracy and timely follow-up.
|
- Administers and maintains comprehensive practitioner database 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 Procedures and Hospital Rules and Regulations.
|
- Executes daily tasks to assure compliance with production and quality standards.
|
- Completes assigned goals.
|
Specifications
Experience
Description
Minimum Required: Three years of Credentialing experience required.
Preferred/Desired:
Education
Description
Minimum Required: Completion of Associates Degree in office administration business computer science or related field or equivalent experience.
Preferred/Desired:
Training
Description
Minimum Required:
Preferred/Desired
Special Skills
Description
Minimum Required: Knowledge and proficiency in the use of personal computers including Microsoft Office solutions e.g. Word and Excel.
Preferred/Desired:
Licensure
Description
Minimum Required: CPCS or CPMSM Certification is required to be obtained within one year of hire.
Preferred/Desired:
Required Experience:
IC
DescriptionSpecialist-Credentialing SeniorJob Code: 21433FLSA StatusJob Family: ADMIN SUPPORTJob SummarySupports management with operational administration of the system credentialing and recredentialing/reappointment process. Monitors and executes daily tasks based on implemented policies and proce...
DescriptionSpecialist-Credentialing Senior
Job Code: 21433
FLSA Status
Job Family: ADMIN SUPPORT
Job Summary
Supports management with operational administration of the system credentialing and recredentialing/reappointment process. Monitors and 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. Supports management by assisting with the following: committee preparation facilitation and follow-up for committee review preparation and participation in audits/surveys and subsequent system updates.
Job Responsibilities
- Administers credentialing/recredentialing/reappointment process for designated providers assuring compliance with applicable accrediting and regulatory standards. Executes the process in accordance with appropriate bylaws hospital rules regulations and policies/procedures to assure that only qualified practitioners provide care.
|
- Coordinates verification of documentation and information assuring accuracy and timely follow-up.
|
- Administers and maintains comprehensive practitioner database 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 Procedures and Hospital Rules and Regulations.
|
- Executes daily tasks to assure compliance with production and quality standards.
|
- Completes assigned goals.
|
Specifications
Experience
Description
Minimum Required: Three years of Credentialing experience required.
Preferred/Desired:
Education
Description
Minimum Required: Completion of Associates Degree in office administration business computer science or related field or equivalent experience.
Preferred/Desired:
Training
Description
Minimum Required:
Preferred/Desired
Special Skills
Description
Minimum Required: Knowledge and proficiency in the use of personal computers including Microsoft Office solutions e.g. Word and Excel.
Preferred/Desired:
Licensure
Description
Minimum Required: CPCS or CPMSM Certification is required to be obtained within one year of hire.
Preferred/Desired:
Required Experience:
IC
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