Credentialing Specialist

Merrimack Health; Lawrence (MA); On-site; USD 33,062 - 49,593; Full time

Job summary

Merrimack Health is seeking a Credentialing Specialist to support the medical staff credentialing function. You will assist in planning, implementing, and operating credentialing activities to ensure accurate and timely processing of new appointments and reappointments for physicians and advanced practice providers.

The role requires collaboration with Medical Staff Services, adherence to Joint Commission standards, and familiarity with credentialing software such as Echo.

Qualifications

• Associates degree required; CPCS or CPMSM certification preferred.
• Credentialing software knowledge (Echo or similar) preferred.
• Familiarity with Joint Commission and NCQA standards advisable.

Responsibilities

• Assist in planning, implementation and operations of the medical staff credentialing function.
• Ensure accurate, complete and timely processing of new appointment and reappointment files for physicians and APPs.
• Prepare complete files for review by Medical Staff and Hospital Board.
• Attend departmental meetings and support meeting materials (agenda, minutes, attendance).

Education

Associates Degree

CPCS

CPMSM

Tools

Echo

Job description

AtMerrimack Health, we are committed to pay transparency and equity. The base salary rangeis $24.39to$36.59hourly, excluding fringe benefits and potential bonuses.

Your final base salary will be determined based on your education, experience, licensure, andinternal equity considerations. Offers are typically made below the top of the rangeto support future salary growth.

As the Credentialing Specialist will be responsible for assisting in the planning, implementation and operations of the medical staff credentialing function. Ensures accurate, complete and timely functioning of the new appointment and reappointment processes for physicians and advanced practice professionals through primary source verification and preparation of complete files for review by the Medical Staff and Hospital Board. Attend and support departmental meetings as assigned to specifically include the generation of meeting materials (setting agenda, preparation of minutes and tracking participant attendance).

• W orks as a member of the Medical Staff Services team to communicate effectively and to assure credentialing is performed in compliance with Joint Commission standards, NCQA standard and all applicable state and Federal requirements.
• Coordinates departmental activities that support an effective and efficient credentialing operation.
• These activities include: the orientation program, licensure and certification expiration; the wide range of communication, from internal notifications of delineation of privileges approvals to external requests for verification.
• Associates Degree required andcertification as a CPCS orCPMSM certification is preferred.
• Knowledge of Credentialing Software (Echo or other comparable programs) is also preferred.

Merrimack Health is a private, non-profit community hospital providing the Merrimack Valley & southern New Hampshire regions with patient-centered, compassionate, and quality health care for the whole family. For over 140 years, thededicated doctors, nurses, and staff of Merrimack Health have been committed to improving the health of the people and communities we serve. We offer competitive pay, a robust benefit package, generous paid time off and free parking! We are an Equal Opportunity Employer committed to hiring a diverse workforce.

In 2022, Healthgrades ranked MH in the top 5 percentof hospitals in the country, and was awarded a top spot on Forbes’ annual list of America’s Best-In-State Employers 2020!