Credentialing Specialist: Compliance & Process Lead

Baptist Memorial Health Care Corporation; Memphis (TN); On-site; USD 42,000 - 54,000; Full time

Job summary

Baptist Memorial Health Care Corporation is seeking a Credentialing Administrator to support the credentialing, recredentialing and privileging processes in a healthcare setting. You will work with leaders and facility contacts to meet deadlines and ensure compliance with The Joint Commission, NCQA, and other regulatory standards.

The role includes maintaining practitioner databases, generating reports, and providing support for committees and audits, with daily tasks aligned to policy and

Qualifications

• Three years of office experience in a health care or business environment.
• Credentialing experience is preferred.
• Associate’s degree or equivalent experience in a related field.

Responsibilities

• Administers credentialing, recredentialing/reappointment and privileging process for designated providers assuring compliance with applicable accrediting and regulatory standards.
• Coordinates verification of documentation and associated information assuring accuracy and timely follow-up.
• Administers and maintains comprehensive practitioner databases and files with particular emphasis on integrity and completeness of documentation.
• Provides status reports, ad hoc queries, and other documents and summaries as requested.
• Provides administrative support to appropriate leaders and applicable committees to assist them in carrying out their responsibilities and complying with the requirements outlined in the Bylaws, Policy/Procedures and Hospital Rules and Regulations.
• Executes daily tasks and special assignments to assure compliance with production and quality standards as well as fostering team approach.
• Completes assigned goals.

Skills

Administrative experience

Education

Associate's Degree in office administration, business, computer science or related field

Tools

Microsoft Word

Microsoft Excel

Job description

Baptist Memorial Health Care Corporation is seeking a Credentialing Administrator to support the credentialing, recredentialing and privileging processes in a healthcare setting. You will work with leaders and facility contacts to meet deadlines and ensure compliance with The Joint Commission, NCQA, and other regulatory standards.

The role includes maintaining practitioner databases, generating reports, and providing support for committees and audits, with daily tasks aligned to policy and