Credentialing Specialist

Lima Memorial Health System; Lima (OH); On-site; USD 28,000 - 41,000; Full time

Job summary

Lima Memorial Health System is seeking a Credentialing Specialist to manage credentialing, reappointment and privileging for Medical Staff applicants. You will verify malpractice insurance coverage and current licensure/board certifications while maintaining the physician database and supporting department meetings.

The role requires an associate degree in a health-related field and certification such as CPCS and/or PESC, with a plan to obtain if not already held within 3 years of hire.

Qualifications

• Requires strong interpersonal and computer skills with proficiency in Word and Excel.
• Demonstrates strong organizational, communication and verbal abilities.
• Experience in medical staff credentialing or related office environment preferred.

Responsibilities

• Credentialing, reappointment and privileging of Medical Staff/Medical Associate applicants.
• Verify malpractice insurance and current licensure/board specialty/certification.
• Maintain physician database and support Medical Staff division meetings.
• Handle license renewals and maintain CLIA and TDDD licensure where applicable.
• Provide general administrative support to Medical Staff and departments.

Skills

Interpersonal skills

Computer skills

Word & Excel

Verbal ability

Education

Associate degree in health-related field

CPCS

PESC

Tools

PowerPoint

CACTUS

Job description

Functioning within the Health System’s mission, values, objectives, policies and procedures, the Credentialing Specialist is responsible for the credentialing, reappointment and privileging of Medical Staff/Medical Associate applicants. Responsibilities include verifying malpractice insurance and current licensure/board specialty/certification; maintaining physician database; providing administrative support at Medical Staff division and department meetings; license renewals, as well as office CLIA and TDDD licensure maintenance.

Education: Associate degree in health related field or equivalent combination of education and experience is required.

Licensure/Certification: Certified Provider Credentialing Specialist (CPCS) and/or Provider Enrollment Specialist Certification (PESC) required. If hired into the position without the associated certification, must obtain the required certification within 3 years of hire date.

Experience: A minimum of one year of medical office or similar medical staff office experience is preferred. Medical staff credentialing experience is required and experience with Power Point and CACTUS is preferred.

Skills: Strong interpersonal and computer skills, including proficiency with Word and Excel; and strong organizational, communication and verbal ability and the documented ability to interact effectively with a variety of people are required. Knowledge of health care, managed care organizations, and government payors are preferred.