Credentialing Specialist

Talentify; Lawrence (MA); On-site; USD 55,000 - 75,000; Full time

Job summary

Talentify in Massachusetts’ Lawrence area is seeking a Credentialing Specialist to support the planning, implementation and operations of the medical staff credentialing function. You will ensure accurate, complete and timely processing of new appointments and reappointments through primary source verification and preparation of files for review by the Medical Staff and Hospital Board.

The role includes attending departmental meetings, generating agenda materials, minutes, and tracking

Qualifications

• Associates Degree required and CPCS or CPMSM certification preferred.
• Knowledge of Credentialing Software (Echo or other comparable programs) preferred.
• Ensure compliance with Joint Commission standards, NCQA standards and applicable state and Federal requirements.
• Assist in planning and supporting the credentialing function and processes.

Responsibilities

• Attend and support departmental meetings, including generating meeting materials, setting agendas, and tracking attendance.
• Coordinate activities that support an effective credentialing operation and communication within the Medical Staff Services team.
• Manage orientation programs, licensure and certification expirations, and internal/external verification requests.
• Prepare complete files for review by the Medical Staff and Hospital Board and ensure timely processing of appointments and reappointments.
• Communicate credentialing statuses and changes to stakeholders and maintain accurate records.

Skills

Attention to detail

Communication skills

Team collaboration

Education

Associates Degree

CPCS or CPMSM certification preferred

Tools

Echo Credentialing Software

Job description

Position Summary:

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).

• Works 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 and certification as a CPCS or CPMSM certification is preferred.
• Knowledge of Credentialing Software (Echo or other comparable programs) is also preferred.