MI - Credentialing Specialist, Days(8-Hour Shifts),**MUST have MDStaff Credentialing Software Proficiency**- Detroit

Mobile Health Team Inc, is a Nurse owned staffing agency that focuses on meeting the needs of our healthcare professionals by offering a variety of placement options, flexible scheduling and competitive pay.

We are currently looking for experienced, hardworking and compassionate Healthcare Professionals to join us and help bridge the staffing gap in all aspects of the healthcare system. We offer PRN, Contract and permanent positions.

Position: Credentialing Specialist

Start Date: 10/21/2024

Duration: 13 weeks

Location: Detroit, MI, 48202

Shift Type/Shift Times/Hours/Day: Days, 8

Shift Notes: M-F 8 Hour Days (Start Time between 7a - 9a) - 40 Hour Guarantee

Weekend Requirements: No

On-Call Requirements: No Call

COVID-19/FLU Requirement: na

Traveler Policy: na

Under general supervision, responsible for all functions relating to the credentialing and re-credentialing of practitioner applicants. Responsibilities include data entry, data collection, and verification of credentials from primary sources and analysis of information collected for presentation to medical staff leadership.

• Responsible for verifications for medical staff and allied health professionals' initial appointments, provisional reviews, reappointments, and privilege delineation;
• a. Coordinates the processing of applications. Assure all applications are processed completely and promptly;
• b. Verifies required primary source credentialing documentation to ensure medical staff and allied health professional files are current and policies and procedures have been followed to obtain required documentation and verification;
• c. Coordinates activities and explains procedures to facilitate the reappointment process;
• d. Request confidential information such as case logs, procedures, and other sensitive matters;
• e. Tracks responses and follows-up on items not received within established time frames;
• Maintains credentialing software database by ensuring that data entered is complete and accurate;
• Submit completed files to MSO offices and delegated entities;
• Acts as a liaison with the CCS.
• Communicates with internal and external customers in a clear, concise manner to obtain or provide necessary information;
• Assist in compliance with the accrediting and regulatory agencies (i.e. The Joint Commission, NCQA, URAC, HFAP) regarding credentialing while developing and maintaining a working knowledge of the statutes and laws;
• Improves professional growth, and knowledge of the job to maintain efficiency and effectiveness of the CCS by participating in professional organizations, attending seminars, and reading journals and publications addressing medical staff services activities and trends;
• Participates in system integration and continuing quality improvement efforts;
• Receives, evaluates, and answers customer inquiries and provides customer support by corporate standards of excellence;
• Performs other duties as required which are subject to change at the discretion of management.
  
  

Submission Requirements

• 2 Years of Prime Source Credentialing Experience - Required
• MUST have 1 Years of Hospital Credentialing Experience (outpatient/clinic experience does not apply)- Required
• MUST be proficient with using MDStaff Credentialing Software - Required
• End-to-end provider Credentialing Experience (MDs & DOs) - Required
• Working knowledge of State and Federal law relating to due process and provisions of the Health Insurance Portability and Accountability Act of 1996 and all applicable standards.
• Must be able to work independently in a fast-paced environment
• Can be onsite or remote (must live near Detroit - will be required to pick up equipment and briefly orient onsite)
• Must be able to work full-time hours
• All RTO Requests, scheduling conflicts, etc. must be provided at the time of submittal
• Must have access to a router near a plug to set up the computer and ethernet
• Candidate must have excellent organization skills and be able to hit the ground running with minimal training. The expectation is to have 2-6 files completed daily. The candidate will start the assignment with 40 files to manage.
  
  

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Mobile Health Team, Inc is a workforce solutions company. We match experienced healthcare professionals with temporary or permanent positions globally.

Our mission is clear, to bridge the staffing gap in the healthcare industry by creating and maintaining long-term working relationships with clients and healthcare professionals. We specialize in temporary and permanent placements in order to meet our client's needs.