Credentialing Analyst - Quality (On-Site Only)

Missouri Delta Medical Center; Sikeston (MO); On-site; USD 42,000 - 66,000; Full time

Job summary

Missouri Delta Medical Center in Sikeston, MO is seeking a Credentialing Analyst for the Quality department to manage confidential medical staff files and verification processes on-site. The role involves primary source verifications, background checks, and coordination with medical committees.

The candidate will review applications, track credentials, and maintain strict confidentiality while supporting CME programs and departmental communications.

Qualifications

• Graduate from high school. College accredited or commercial courses in medical terminology, computers, typing, shorthand and English preferred.
• Three years of experience in health care related field is preferred.

Responsibilities

• Processes and maintains confidential files for medical staff and Allied Health Professionals, including verification and data entry of Missouri license, malpractice insurance, DEA, and BNDD.
• Initiates and follows through with credentialing verifications for privileges and/or reappointments to the Medical Staff.
• Carries out primary source verifications (education, competence, licensure, board certification, malpractice history) and queries NPDB/AMA/OPMS/OIG, etc.
• Initiates criminal background checks pertinent to each applicant.
• Reviews applications and documentation for completeness and accuracy, preparing information for review by committees.
• Tracks progress of appointments, reappointments and clinical privileges, with follow-up as needed.
• Disseminates information regarding appointment and privileging to hospital departments as needed.
• Coordinatres with Medical Staff and Administration to fulfill credentialing tasks according to bylaws and regulations.
• Organizes and attends Credential Committee meetings, takes minutes, prepares agendas and information.
• Attends meetings as required and performs secretarial functions for the Credentials Committee.
• Performs day-to-day clerical duties of the Credentials Office and maintains confidentiality.
• Coordinates monthly CME programs for Medical Staff.
• Performs other credentialing duties as required.

Education

High School Diploma

College-level courses in medical terminology, computers, typing, shorthand and English

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Credentialing Analyst - Quality (On-Site Only)

Hospital, Sikeston, MO, US

Functions of Position:

• Processes and maintains confidential files for medical staff members and Allied Health Professionals. This entails ongoing maintenance of verification and data base entry of current information (Missouri license, malpractice insurance, DEA, and BNDD).
• Initiates and follows through with the credentialing verification process for requests for privileges and/or reappointments to the Medical Staff.
• Carries out all primary source verifications (education, competence, licensure, board certification, malpractice history, etc.) and query relevant databases (NPDB, AMA, OPMS, OIG, etc.).
• Initiates criminal background checks pertinent to each applicant.
• Reviews each application and documentation gathered in support thereof for completeness and accuracy, and prepares this information for review and recommendation of the department chair, Credentials Committee, Medical Executive Committee, and Hospital Executive Committee.
• Tracks the progress of applications for appointment, reappointment, and clinical privileges and initiates appropriate follow-up for issues that require further investigation, if necessary
• Disseminates information regarding appointment and privileging to hospital departments with a need to know.
• Works independently to coordinate the medical staff credentialing functions in accordance with guidelines and regulations of the Medical Staff By-Laws, the medical center by-laws, JCAHO, National Practitioner Data Bank, the State of Missouri, and FDA regulations (for the institutional review board activities)
• Works with medical staff members and Administration to fulfill the tasks of the credentialing process.
• Organizes, attends, takes minutes, and prepares agendas and pertinent information for Credential Committee meeting.
• Attends meetings as required.
• Performs secretarial functions for medical staff Credentials Committee.
• Performs day-to-day clerical functions of maintaining the Credentials Office.
• Carries out all job responsibilities while maintaining confidentiality.
• Coordinates monthly Continuing Medical Education (CME) programs for Medical Staff.
• Performs other credentialing duties as required.

Qualifications:

• Graduate from high school. College accredited or commercial courses in medical terminology, computers, typing, shorthand and English preferred.
• Three years of experience in health care related field is preferred.

Functions of Position:

• Processes and maintains confidential files for medical staff members and Allied Health Professionals. This entails ongoing maintenance of verification and data base entry of current information (Missouri license, malpractice insurance, DEA, and BNDD).
• Initiates and follows through with the credentialing verification process for requests for privileges and/or reappointments to the Medical Staff.
• Carries out all primary source verifications (education, competence, licensure, board certification, malpractice history, etc.) and query relevant databases (NPDB, AMA, OPMS, OIG, etc.).
• Initiates criminal background checks pertinent to each applicant.
• Reviews each application and documentation gathered in support thereof for completeness and accuracy, and prepares this information for review and recommendation of the department chair, Credentials Committee, Medical Executive Committee, and Hospital Executive Committee.
• Tracks the progress of applications for appointment, reappointment, and clinical privileges and initiates appropriate follow-up for issues that require further investigation, if necessary
• Disseminates information regarding appointment and privileging to hospital departments with a need to know.
• Works independently to coordinate the medical staff credentialing functions in accordance with guidelines and regulations of the Medical Staff By-Laws, the medical center by-laws, JCAHO, National Practitioner Data Bank, the State of Missouri, and FDA regulations (for the institutional review board activities)
• Works with medical staff members and Administration to fulfill the tasks of the credentialing process.
• Organizes, attends, takes minutes, and prepares agendas and pertinent information for Credential Committee meeting.
• Attends meetings as required.
• Performs secretarial functions for medical staff Credentials Committee.
• Performs day-to-day clerical functions of maintaining the Credentials Office.
• Carries out all job responsibilities while maintaining confidentiality.
• Coordinates monthly Continuing Medical Education (CME) programs for Medical Staff.
• Performs other credentialing duties as required.

Qualifications:

• Graduate from high school. College accredited or commercial courses in medical terminology, computers, typing, shorthand and English preferred.
• Three years of experience in health care related field is preferred.

Monday - Friday 8:00am - 4:30pm On-Site Only, no remote availability