Credentialing Specialist, Medical Staff Office

Beth Israel Lahey Health; Cambridge (MA); On-site; USD 36,423 - 59,608; Full time

Job summary

A healthcare organization in Cambridge is seeking a Credentialing Specialist to support the Medical Staff Office. This hybrid role involves processing medical staff applications, maintaining accurate records, and providing administrative support. Candidates should possess a High School Diploma or GED, with a preference for an Associate’s degree, along with three years of healthcare administrative experience. Strong communication and organizational skills are essential. The pay range for this position is $26.44 - $43.27 per hour.

Qualifications

• High School Diploma or GED required; Associate's degree preferred.
• Three years administrative experience, preferably in healthcare.
• Experience with electronic credentialing systems.

Responsibilities

• Provide credentialing support for the Medical Staff Office.
• Coordinate day-to-day operations and attend Medical Staff committees.
• Process initial applications for appointments to the Medical Staff.

Skills

Administrative experience in a healthcare setting

Proficiency in electronic credentialing systems

Excellent communication skills

Organizational skills

Education

High School Diploma or GED

Associate's degree preferred

Tools

MDStaff credentialing software

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Beth Israel Lahey Health and Mount Auburn Hospital are devoted to consistently promoting a culture of Wellbeing, Empathy, Collaboration, Accountability, Respect, and Equity as outlined in our organization's WE CARE values. The Credentialing Specialist will support the Medical Staff Office at Mount Auburn Hospital in Cambridge, MA. This will be a hybrid opportunity following the orientation period, with the ability to work 3-4 days remotely per week.

Job Description

Provide credentialing support for the Medical Staff Office, coordinate day-to-day operations, and attend Medical Staff committees as necessary. Assists with the processing of medical staff applications for initial appointment and reappointment. Reports to the Program Manager of the Medical Staff Office.

Essential Duties & Responsibilities (including but not limited to)

• Accountable for Medical Staff Credentialing and Reappointment Process
• Processes initial applications for appointments to the Medical Staff, from written recommendation by Department Chair, through final decision by Board of Trustees
• Follows up with Department Chairs on incomplete applications
• Interfaces with BILH CVO as needed to facilitate information exchange to review applications
• Reviews completed applications, ensures that all items are included in providers files, and that changes are entered into the credentialing software (MDStaff) for updating
• Distributes completed applications to Department Chairs with alerts resulting from review process
• Updates the database with current certifications, including, but not limited to: DEA, ACLS, NRP, Board Certification and re-certification, Malpractice coverage, and UP/RAD/MOD, if applicable
• Maintains professional standards for all communications
• Provides administrative support to the Medical Staff Executive Committee and Credentials Committee, as well as to the President of the Medical Staff
• Assembles and distributes supporting documents for Credentials Committee, Medical Staff Executive Committee, and Medical Staff Quarterly meetings
• Tracks required attendance at Medical Staff Quarterly meetings for active medical staff
• Maintains accurate records pertaining to malpractice insurance for all credentialed staff, including type of coverage, type of premium, carrier, and term of coverage
• Follows proper procedure and maintains confidentiality of all information exchanged with malpractice carriers
• Responsible for managing staff dues records and tracks payment of annual expenses on Microsoft Excel spreadsheet
• Performs data entry for a variety of databases including entering, maintaining, and updating privileges or administrative data into credentialing software
• Organizes other Medical Staff functions under the direction of the Program Manager, Credentialing Chair, and President of the Medical Staff
• Monitors email box for the MSO
• Performs all other duties as needed or directed to meet the needs of the department.

Qualifications

• High School Diploma or GED Required; Associate's degree preferred
• Three years of directly related administrative experience, healthcare setting preferred
• Experience with electronic credentialing systems or ability to train to high level of proficiency
• Knowledge of Microsoft Office applications, including Microsoft Word, Excel, and Outlook, and the ability to work with credentialing platform (MDStaff)
• Demonstrates the ability to interact and communicate effectively with people
• Excellent verbal and written communication skills
• Excellent organizational skills, including ability to prioritize work and handle multiple tasks simultaneously
• Ability to maintain accurate and detailed records
• Must be able to readily adjust to change and handle a rapid-paced environment while continuing to provide high-quality, efficient service.

Other Requirements

• Consistently promote a culture of Wellbeing, Empathy, Collaboration, Accountability, Respect, and Equity as outlined in the organization's WE CARE values.
• Demonstrated commitment and actions to valuing diversity and contributing to an inclusive working and learning environment.
• Must be able to stand/walk for prolonged periods of time, must be able to lift up to 25 lbs.

About Us

Beth Israel Lahey Health (BILH) places great value on being a diverse and inclusive community. BILH and the Department of {insert hiring department} are dedicated to diversity, equity, and inclusion as we aim to reflect the diversity of the patients in the communities that we serve. We believe in equal access to quality care, as well as employment and advancement opportunities encompassing the full spectrum or human diversity: race, gender, sexual orientation, religion, ethnicity, national origin and all the other forms of group and individual identity and expression that make us better able to provide innovative and cutting-edge healthcare and research.

Pay Range

$26.44 - $43.27

The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer / Veterans / Disabled

Equal Opportunity Employer/Veterans/Disabled