Credentialing Specialist (ASC)

Core Responsibilities

• Uses innovative, state-of-the art provider data management tools to carry out credentialing and privileging processes for surgeons and surgical APPs.
• Supports the peer review process for Surgical Medical Staff.
• Carries out onboarding programs for Surgical Medical Staff.
• Uses protocols and systems for tracking providers’ expirable documents (e.g., medical license, DEA license, Board certification status, certificate of insurance and more) required for privileges.
• Engages in the primary source credentialing process to verify education, training, licensure, board certification, references, insurance, etc. for privileges applicants
• Administratively supports the ASC’s quality assurance activities including the Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) processes.
• Creatively seeks solutions to foster continuous quality and process improvement.
• Works in partnership with the clinical teams, practice leadership, and senior leadership teams

Skills:

• Ability to work autonomously and collaboratively with team members, including cross coverage to achieve the overall objectives of the department and organization
• Excellent attention to detail and organizational skills
• Great sense of humor and ability to keep equanimity even when trouble shooting a faulty process
• Ability to use independent, sound judgement
• Manage and impart confidential information
• Strong customer service skills and professionalism
• Ability to manage multiple tasks, prioritize and meet deadlines
• Excellent communication skills both oral and written; able to write clearly and succinctly in a variety of communication settings and styles
• Strong computer skills; Microsoft Word, Excel, and electronic medical records; experience with electronic credentialing and privileging platform preferred

Job Requirements

• Bachelor’s degree preferred
• Experience in healthcare credentialing and privileging preferred
• Ability to use independent judgment and to manage and impart confidential information.
• Knowledge of medical staff affairs operational process.
• Knowledge of medical credentialing and privileging procedures and standards.
• Knowledge of related accreditation and certification requirements.
• Working knowledge of clinical and/or ASC operations and procedures.
• Knowledge of clinical privilege criteria development.
• Knowledge of medical staff policies, regulations, and bylaws and the legal environment within which they operate.
• Knowledge of performance improvement techniques.
• Information research skills.
• Ability to analyze, interpret, and draw inferences from research findings, and prepare reports.
• Ability to communicate effectively, both orally and in writing with all levels of the organization. Knowledge of project management principles, practices, techniques, and tools.
• Database management skills including query and report generation. Ability to make sound administrative/procedural decisions and judgments.
• Ability to effectively organize, prioritize and delegate tasks to achieve departmental goals.

InterMed is an equal opportunity workplace and prohibits discrimination or harassment of any kind. We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, gender identity and/or expression, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law.