Credentialing Specialist

Lima Memorial Health System; Lima (OH); In loco; USD 42.000 - 54.000; Tempo pieno

Descrizione del lavoro

Lima Memorial Health System is seeking a Credentialing Specialist to oversee credentialing, reappointment and privileging for Medical Staff applicants. The role includes verifying malpractice insurance, licensure, board specialty and certification, and maintaining the physician database.

The position supports Medical Staff meetings, handles license renewals, and maintains CLIA and TDDD licensure. An associate degree in a health-related field is required, with CPCS/PESC certifications preferred

Competenze

• Associate degree in health-related field or equivalent experience is required.
• Certified Provider Credentialing Specialist (CPCS) and/or Provider Enrollment Specialist Certification (PESC) required; if not held, must obtain within 3 years.
• Minimum one year of medical office or medical staff credentialing experience preferred; credentialing experience is required.

Mansioni

• Credentialing, reappointment and privileging of Medical Staff/Medical Associate applicants.
• Verify malpractice insurance, licensure, board specialty, and certification.
• Maintain physician database and support Medical Staff division meetings.
• Manage license renewals, and CLIA and TDDD licensure maintenance.

Conoscenze

Interpersonal skills

Communication

Organization

Verbal ability

Interacting with diverse people

Power Point

CACTUS

Word and Excel proficiency

Formazione

Associate degree in health-related field

Equivalent education/experience

Strumenti

PowerPoint

CACTUS

Word

Excel

Descrizione del lavoro

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.