Credentialing Specialist

Credentialing Specialist Job Description

At Generis Tek Inc, we are seeking a highly skilled Credentialing Specialist to join our team. The successful candidate will be responsible for coordinating and preparing medical staff functions, including preparing for committee meetings, taking minutes, processing and distributing correspondence, and assisting with the development, planning, and implementation of the credentialing and privileging process.

Key Responsibilities:

• Coordinate the credentialing activities of the Medical Staff and Allied Health Staff, in accordance with the Medical Staff Bylaws, Credentialing Policies and Procedures, and federal and state law, regulatory, and accrediting agencies.
• Provide administrative support to Credentials, General Staff, and other Medical Staff committees and departments.
• Process requests for temporary privileges and monitor all follow-up, in accordance with policies and procedures.
• Process requests for additional privileges and monitor all follow-up, in accordance with policies and procedures.
• Process requests for one-time privileges, visiting physicians, and/or student observers.
• Coordinate verification of professional liability coverage, medical licensure, board certification, BLS, ACLS, ATLS, and/or NRP certifications, and DEA certification, as required.
• Obtain updated PPD and annual AHP evaluations.
• Assist with the coordination of annual dues process.
• Credentialing/Database management.
• Assist customers in the absence of the Credentialing Assistant and/or Administrative Assistant.
• Assist with Joint Commission accreditation preparation, as necessary.
• Assist with coordination of yearly on-call schedule preparation and coordination of Department Director election (every two years).
• Coordinate preparation and distribution of new committee roster (every two years) and yearly master calendar.
• Assist with verifications of medical staff membership and clinical privileges of providers from other healthcare facilities.
• Assist in coordination of medical staff events and functions and other duties assigned.

Requirements:

• Minimum of five years in a healthcare setting performing credentialing, privileging, and medical staff services functions.
• Applicant must have a good verbal, written, and telephone communication skills.
• Must be able to multi-task, attention to detail, and strong interpersonal skills are required.
• Must be able to work independently and exercise independent judgment regarding the credentialing and privileging of providers as well as other medical staff services' decisions and have the ability to define problems, prioritize issues, and develop and implement solutions.
• This individual must be a self-starter who functions well in a team providing leadership example by demonstrating exceptional standards in issues such as teamwork and interpersonal relationship development, reliability, and attendance, professional appearance, and commitment to and participating in quality improvement programs.
• Must have strong computer experience with database management, MS Office, and Windows applications.
• Must have experience with Joint Commission and other healthcare regulatory bodies.
• Physical Requirements: Climbing, stooping, kneeling, reaching, standing, walking, pushing, pulling, lifting, carrying.

Education:

• High School Diploma or equivalent.

Preferred Education:

• Associates Degree or equivalent combination of education and related experience.

Preferred Certifications & Licensure:

• CPCS or CPMSM.