Credentialing Specialist

The Regional Municipality of Durham; North Carolina; On-site; USD 35,000 - 50,000; Full time

Job summary

A leading healthcare organization in North Carolina seeks a clerical support professional for medical staff. This role involves coordinating credentialing processes and providing administrative support to ensure a high-quality healthcare environment. Ideal candidates will have healthcare administrative experience and strong organizational skills.

Benefits

Day 1 Health Coverage

Generous PTO

Parental Benefits

Retirement Contributions

Education Reimbursement

Qualifications

• Requires high school diploma and two years' administrative/clerical or healthcare experience.
• Medical staff credentialing experience preferred.

Responsibilities

• Provides clerical support for medical staff credentialing and reappointment processes.
• Conducts primary source verification for medical providers.

Skills

Organizational Skills

Attention to Detail

Communication

Education

High school diploma

Associate's degree in Medical Office Administration

Job description

JOB DESCRIPTION

Position Highlights:

• Location: Winston Salem, North Carolina
• Full Time

What We Offer:

• Day 1 Health Coverage: Choose from either copay or HSA-eligible health insurance options with coverage starting on your first day of work.
• Generous PTO: Accrual starts at up to 25 days/year, to be used for vacations, sickness, holidays, and personal matters.
• Parental Benefits: Six weeks paid birthing-mother maternity leave & four weeks paid parental leave for non-birthing parents.
• Retirement: Up to 7% employer-paid retirement contributions
• Education Reimbursement: We invest in your professional growth, offering up to $2,500 per year towards a bachelor's degree and up to $5,000 per year towards a graduate degree.

Job Summary:

Provides clerical support for the medical staff including timely compilation and coordination of all credentialing and reappointment processes, coordinating medical staff related meetings, maintaining all medical staff files, and being part of a team that aspires to ensure quality, timeliness and clear communication.

What You'll Need:

• High school diploma and two years' administrative/clerical or healthcare experience.
• Associate's degree with certification in Medical Office administration preferred.
• Medical staff credentialing experience preferred.

What You'll Do:

• Performs primary source verification for both initial appointment/credentialing and re-credentialing.
• Conducts annual monitoring of medical licensure of all credentialed providers and maintains current, accurate documentation relative to credentialing files.
• Monitors and confirms focused evaluation (FPPE) completed at time of initial appointment for all new providers.
• Assures appropriate departments are notified of approval of new providers.
• Verifies previous appointments as providers who have left the Medical Center.
• Monitors and confirms ongoing evaluation (OPPE) completed two times annually for all active providers.
• Actively participates in all audits, i.e. Managed Care, Medicare, state licensure, etc.
• Actively participates in all surveys, i.e. Joint Commission, Medicare, all disease specific surveys, etc.
• Provides support for medical staff including preparing and distributing agendas and related materials for medical staff departmental and committee meetings, Medical Staff Executive Committee and Full Medical Staff Meetings.
• Supports and assists affiliate hospital medical staff offices.
• Provides information relative to medical staff and allied health professionals to other departments and external agencies, as appropriate, with due confidentiality, in a timely manner.
• Provides support for updating and revising medical staff documents, i.e., Bylaws, Rules and Regulations.
• Maintains a working knowledge of the Medical Staff Bylaws, Rules and Regulations, Credentialing Manual, and Fair Hearing Plan.
• Remains current with Joint Commission Medical Staff Standards, state and federal laws related to medical staff.
• Prepares medical staff dues statements and collects dues. Maintains medical staff checking account and makes deposits as needed.

About Us

Atrium Health Wake Forest Baptist is a pre-eminent academic health system based in Winston-Salem, North Carolina. Atrium Health Wake Forest Baptist is part of Advocate Health, which is headquartered in Charlotte, North Carolina, and is the fifth-largest nonprofit health system in the United States, created from the combination of Atrium Health and Advocate Aurora Health. Atrium Health Wake Forest Baptist's two main components are an integrated clinical system - anchored by Atrium Health Wake Forest Baptist Medical Center, an 885-bed tertiary-care hospital in Winston-Salem - that includes Brenner Children's Hospital, five community hospitals, more than 300 primary and specialty care locations and more than 2,700 physicians; and Wake Forest School of Medicine, the academic core of Atrium Health Enterprise and a recognized leader in experiential medical education and groundbreaking research that includes Wake Forest Innovations, a commercialization enterprise focused on advancing health care through new medical technologies and biomedical discovery.

Wake Forest Baptist Health, Wake Forest University School of Medicine and Atrium Health have joined forces in a strategic combination that will enhance care, transform medical education and create economic opportunity for countless lives in North Carolina and beyond. As a part of that combination, the two health systems will be integrating technology and platforms, including our career sites.

This means that although you are applying on the Wake Forest Baptist Health Career Site, you receive communications from the Atrium Health Recruitment Team. Please know that this is an expected process, and thanks in advance for your flexibility.

About the Team

Mission, Vision and Culture Commitments

Mission

To improve health, elevate hope and advance healing - for all.

Vision

To be the first and best choice for care.

Culture Commitments

We create a space where all Belong

We Work as One to make great things happen

We earn Trust in all we do

We Innovate to better the now and create the future

We drive for Excellence - always