Credentialing Analyst-Full-Time

Credentialing Analyst

Credentialing Analyst

DEPARTMENT:                  HIM

REPORTS TO:                     HIM Manager

POSITION SUMMARY:

• Responsible for assisting in the coordinating the Medical Staff credentialing, re-credentialing, and privileging process.
• Ensures appropriate organizational practices are in use.
• Promotes good public relations through contacts with patients, practitioners, visitors, employees, peers and the public at large.
• Maintains confidentiality of provider information.

POSITION RESPONSIBILITIES

ESSENTIAL FUNCTIONS:

• Medical Staff Credentialing and Privileging: 
• New Appointments: Assists potential Medical Staff with completion of the KAPER-1 Initial Application.
  •  Reappointments:  Prompts Medical Staff for submission of the reappointment information. 
  • Verify licenses for Medical Staff and maintain a spreadsheet concerning licenses, malpractice insurance, and certifications.
  • Complete an OIG monthly review & maintain the information in the Medical Staff file. 
  • Ensure the providers are not on the exclusions or sanctions lists. 
  • Make sure all new Medical Staff have submitted an updated TB skin test verification and Flu Vaccines.
  • Credential Files:  Maintains individual credential files for each Medical Staff requesting membership and privileges.   

• Attends the Credentialing Committee Meeting, maintains Minutes, and notes.
• Interacts with others (on the phone or in person) in a positive, professional and appropriate manner.
• Works cooperatively with others.   Shows respect for and an understanding of the contributions of all team members.
• Protects patient confidentiality by promoting appropriate staff communication practices.
• Performs other duties as assigned.

POSITION QUALIFICATIONS

MINIMUM EDUCATION

• Associates Degree

PREFERRED EDUCATION

• College degree preferred.

MINIMUM EXPERIENCE

• None required.

PREFERRED EXPERIENCE

• 1 or more years of experience

Qualifications