Credentialing Specialist
Credentialing Specialist
Posted on :
31-10-2024
Employer Active
Job Alert
You will be updated with latest job alerts via emailValid email field required
Send jobs
Share
Send me jobs like this
Job Alert
You will be updated with latest job alerts via emailValid email field required
Send jobs
Job Description
MARS Solutions Group is looking for an experienced Credentialing Specialist for a client in Norwoods OH. Our client is a wellknown and highly respected health care company seeking bright techsavvy talent. Join a strong innovative and growing team with impressive employee perks.
Requirements: Must have 5 years of experience from a hospital/health system credentialing physicians and/or advanced practice staff. Must be strong in Excel and have great attention to detail.
Understanding of what needs to be verified Joint Commission accreditation rules privileging license verification board certifications anything the provider is licensed to do. Please avoid submitting any candidates who only have credentialed nurses allied staff or nonphysician/advanced practice staff.
Preferred: Cactus/Symplr experience is strongly preferred; Credentialing certifications.
Duration: 13 weeks contract
This position is completely onsite; remote work is not available.
Shift: MF 8AM4:40PM
Hours: 3240 hours per week
Required: 5 years experience in Physician Credentialing and privileging. Strong excel experience.
Preferred: CPCS certified
Attire: Business Casual
Shift Schedule: Day
Job Summary:
Responsible for coordination and preparation of medical staff functions; prepares for committee meetings taking minutes processes and distributes appropriate correspondence and assists with the development planning and implementation of the credentialing and privileging process in addition to the analysis of each file upon completion. Assists in the compliance with the accrediting and regulatory agencies (i.e. Joint Commission and NCQA) in regards to credentialing and privileges while developing and maintaining a working knowledge of the statues and laws. Ensures that all expirables are reviewed obtained and managed on a monthly basis according to the rules and policies. Maintains the confidentiality of all business/work and medical staff information. Assists in the managing the flow of information between medical staff services Credentials Committee and MEC Committee medical staff leadership and Chief Medical Officer. Manages the FPPE process and the integration of OPPE during reappointment.
Responsible for coordination and preparation of medical staff functions; prepares for committee meetings taking minutes processes and distributes appropriate correspondence and assists with the development planning and implementation of the credentialing and privileging process in addition to the analysis of each file upon completion. Assists in the compliance with the accrediting and regulatory agencies (i.e. Joint Commission and NCQA) in regards to credentialing and privileges while developing and maintaining a working knowledge of the statues and laws. Ensures that all expirables are reviewed obtained and managed on a monthly basis according to the rules and policies. Maintains the confidentiality of all business/work and medical staff information. Assists in the managing the flow of information between medical staff services Credentials Committee and MEC Committee medical staff leadership and Chief Medical Officer. Manages the FPPE process and the integration of OPPE during reappointment.
Job Responsibilites:
Coordinate the credentialing activities of the Medical Staff and Allied Health Staff in accordance with the Medical Staff Bylaws Credentialing Policies and Procedures of Client as well as the federal and state law regulatory and accrediting agencies.
Provide administrative support to Credentials General Staff and other Medical Staff committees and departments of Client as directed.
Process requests for temporary privileges and monitor all followup in accordance with policies and procedures.
Process requests for additional privileges and monitor all followup in accordance with policies and procedures.
Process requests for onetime privileges visiting physicians and/or student observers.
Coordinate verification of professional liability coverage medical licensure board certification BLSACLS 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 oncall 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.
Coordinate the credentialing activities of the Medical Staff and Allied Health Staff in accordance with the Medical Staff Bylaws Credentialing Policies and Procedures of Client as well as the federal and state law regulatory and accrediting agencies.
Provide administrative support to Credentials General Staff and other Medical Staff committees and departments of Client as directed.
Process requests for temporary privileges and monitor all followup in accordance with policies and procedures.
Process requests for additional privileges and monitor all followup in accordance with policies and procedures.
Process requests for onetime privileges visiting physicians and/or student observers.
Coordinate verification of professional liability coverage medical licensure board certification BLSACLS 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 oncall 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.
Skills
Required Skills & Experience:
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 multitask 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 selfstarter who functions well in a team providing leadership example by demonstrating exceptional standards in issues such as team work 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 Microsoft 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.
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 multitask 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 selfstarter who functions well in a team providing leadership example by demonstrating exceptional standards in issues such as team work 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 Microsoft 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.
Preferred Skills & Experience:N/A
Education
Required Education:High School Diploma or equivalent.
Preferred Education:Associates Degree or equivalent combination of education and related experience.
Required Certifications & Licensure:N/A
Preferred Certifications & Licensure:CPCS or CPMSM
About MARS Solutions Group: MARS Solutions Group is a contingent staffing firm with access to a wide variety of jobs at various clients across the country. We operate with the consultants best interests in mind and align them with roles that match their skills aspirations and interests. MARS values our relationships with consultants. Therefore we will stay in touch throughout the duration of the contract to ensure the job is going well and that the role meets their career development needs.
Employment Type
Full Time
Key Skills
Report This Job
Disclaimer: Drjobpro.com is only a platform that connects job seekers and employers. Applicants are advised to conduct their own independent research into the credentials of the prospective employer.We always make certain that our clients do not endorse any request for money payments, thus we advise against sharing any personal or bank-related information with any third party. If you suspect fraud or malpractice, please contact us via contact us page.
