Credentialing and Privileging Specialist
Credentialing and Privileging Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Job Title: Credentialing and Privileging Specialist
Location: Rapid City SD 57701
Payrate: $38 $42 per hour
Contract Length: 13week contract.
General Information
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Minimum Experience:
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Required: 1 years in Healthcare; 1 years of Administrative Experience
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Preferred: 3 years in Healthcare; 3 years of Administrative Experience
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FirstTime Traveler: Accepted
Job Description
The Credentialing and Privileging Specialist is responsible for completing credentialing privileging enrollment proctorship and orientation activities for the Medical Staff and other providers. The role also includes acting as a recording secretary for applicable department meetings as well as planning coordinating and providing support to staff as needed.
Essential Functions:
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Process new and reappointment applications including:
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Board certifications state licenses credentials verification exclusion checks etc.
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Support the credentialing and privileging process alongside the Medical Staff Coordinator.
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Communicate information and requests to the VPMA Medical Staff Coordinator and other department staff.
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Compose correspondence memos and reports professionally and accurately.
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Coordinate orientation and proctorship for new physicians and practitioners with privileges.
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Monitor maintain and report expiration dates for physician and practitioner licenses insurance DEA numbers TB test results and other required items.
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Prepare agendas and record/transcribe minutes for medical staff department meetings committee meetings and Executive Council meetings.
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Apply for and maintain Federal State and other thirdparty payer professional provider numbers for employed or contracted providers.
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Oversee and maintain the provider enrollment database ensuring task management and communication.
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Complete enrollment reenrollment and change applications accurately and on time.
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Perform additional duties as assigned.
Required Skills
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Strong organizational and administrative skills.
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Excellent written and verbal communication abilities.
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Proficiency in managing credentialing databases and documentation processes.
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Attention to detail and ability to handle sensitive information.
Certifications
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Required: None
Education
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Required: High School Diploma/GED Equivalent in General Studies
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Preferred: Associates Degree in Healthcare
Scheduling and Orientation
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Shift Times: Monday Friday 8:00 AM to 5:00 PM
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Weekend Rotation: None
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Holiday Expectations: None
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RTO Approval: Manager approval required
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Orientation Period: Minimum 2 weeks
Additional Notes
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Dress Code: Business casual attire
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Parking: Free parking in designated areas
Employment Type
Full Time
