Demo

Credentialing & Privileging Specialist

APN Software Services Inc
Rapid, SD Full Time
POSTED ON 12/20/2024
AVAILABLE BEFORE 2/20/2025
Minimum Experience:
Required to have 1 years in Healthcare; 1 years Administrative
Experience
Preferred to have 3 years in Healthcare; 3 years Administrative
Experience

Will you accept a first-time traveler? Yes
Skills Required:

Job Description:
**This position does not require a skills checklist non-clinical**
Completes credentialing, privileging, enrollment, proctorship, and orientation
activities for the Medical Staff and other providers. Acts as a recording secretary
for the applicable department meetings. Plans, coordinates and provides support
to the staff as needed.
Essential Functions:
Assists in processing new and reappointment applications including but
not limited to board certifications, all state licenses, databanks,
federations, credentials verification, exclusion checks, etc.
Assists in the credentialing and privileging process and provides support
to the Medical Staff Coordinator.
Communicates necessary information and requests to the VPMA, Medical
Staff Coordinator, and other department staff. Composes
correspondence, memos, and reports in an accurate and professional
manner in response to the Medical Staff and VPMA needs.
Coordinates orientation and proctorship for new physicians and other
practitioners with privileges. Maintains, monitors, and reports expirations
of physician and practitioner licenses, insurance, DEA numbers, TB test
results, and other items as required.
Prepares agendas and accurately records and transcribes minutes of
medical staff department meetings, committee meetings, and other
committee meetings of the Medical Staffs' leadership (i.e. Executive
Council).
Applies for and maintains compliant Federal, State, and other third-party
payor professional provider numbers for all providers employed or
contracted by Monument Health.

Provides oversight for and maintains the provider enrollment database for
appropriate task management, provider communication, and repository of
applications and files.
Completes necessary enrollment, re-enrollment, and change applications
in an accurate and timely manner.
All other duties as assigned.

Required Certifications:
None required
Required Education:
High School Diploma/GED Equivalent in General Studies (Required)
Associates degree in Healthcare (Preferred)
Orientation Period:
2 weeks minimum
Scheduling:
Weekend rotation: no weekends
Holiday Expectations: no holidays
RTO Approval: Manager to approve
Shift times: Monday-Friday 8-5
Other notes:
Business Casual Attire
Parking: free parking in designated areas

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