Credentialing Specialist II - FT - Days - Med Ofc Stf - 19478

DHR Health; McAllen, Northern (TX, KY); Hybrid; USD 48,000 - 72,000; Full time

Job summary

DHR Health is seeking a Credentialing Specialist II to support the Medical Staff Office. Under the direction of the Lead Credentialing Specialist, you will coordinate credentialing activities, manage applications, and assist with appointments and reappointments.

This role requires strong secretarial skills, proficiency with Cactus software, and the ability to handle confidential information with discretion. A high level of organization and attention to detail is essential.

Qualifications

• HS Diploma or GED required.
• Secretarial training and typing speed 50 wpm.
• Experience in confidential, executive/medical staff secretarial work.
• Proficiency with medical terminology is desired.
• Ability to prepare minutes and reports with minimal supervision.

Responsibilities

• Perform Credentialing activities in accordance with established policies and procedures.
• Assist with appointment and reappointment process of the Medical Staff and APP Staff.
• Process applications and verify information with outside agencies.
• Verify credential information by contacting primary sources.
• Maintain confidentiality of all credentialing files.
• Maintain records for licensure,DEA, DPS, and malpractice insurance.
• Identify inconsistencies in credential files and coordinate follow-ups.
• Prepare agendas, take minutes, and maintain minutes in filing systems.
• Cover the Lead Credentialing Specialist as required.
• Support in scheduling meetings and coordinating rooms.

Skills

Secretarial experience

Medical terminology

Typing 50 wpm

Shorthand/speedwriting

Written and oral communication

Organizational skills

Interpersonal skills

Education

HS Diploma or GED

Secretarial training

Shorthand/speedwriting preferred

Tools

Cactus software

Job description

Credentialing Specialist II - FT - Days - Med Ofc Stf - 19478

Description

Summary:

MISSION STATEMENT:

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.

VISION:

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

POSITION SUMMARY:

Under the direction of theLead Credentialing Specialist,assistsin the coordination of all Medical Staff requirements. Provides secretarial support of the Medical Staff’s credentialing including the processing of new applications, requests for temporary privileges, and biennial reappointments. Performs general office and secretarial work, including typing,takingand transcribing dictation, preparation of confidential and special reports.

POSITION EDUCATION/ QUALIFICATIONS:

• HS Diploma or GEDrequired.
• Experience andproficiencyin using Cactus softwarerequired
• Secretarialtraining.
• Typing 50 wpm.
• Shorthand/speedwriting preferred.
• Medical terminology knowledge desired.
• Minimum of threeyears experiencein confidential, executive/ legal secretarial position and/or threeyears experiencein a hospital Medical Staff Office secretarial position.
• Knowledge of basic record keeping and filing systems.
• Demonstrates skill at written and oral communications including taking minutes at selected meetings and relating to physicians and allied health professionalsregardingtheir applications forinitialprivileges,reappointmentsand/or temporary privileges.
• Ability to perform basic word processing procedures.
• Ability to prepare reports and follow- up with minimal supervision.

JOB KNOWLEDGE/EXPERIENCE:

• High degree of competency/experience in general.
• Able to respond to patient/visitor needs by interpreting facial expressions and/or verbal communications.
• Requiresgood communicationand organizational skills.
• Requires reasoning ability and good independent judgment.
• Requires working with frequent interruptions

Responsibilities:

POSITION RESPONSIBILITIES:

• Perform Credentialing activitiesin accordance withestablished policies and procedures.
• Assistwith appointment and reappointment process of the Medical Staff and APPStaff.
• Processing Applications
• Corresponding with outside agenciesregardingverification of information.
• Verifyinginformation incredentialfiles by contacting primary sources.
• Queryingpractitioner’sdata bank appropriately.
• Maintain confidentiality of all credentialing files.
• Assistwith maintenance and verification of current Texas licensure, DEA, DPS, and malpractice insurance on all Medical Staff and APPStaff members.
• Identifyinconsistencies in credential files.
• Work closely withMedicalStaff Coordinator inutilizingphysician performance improvementprofilefor reappointment purposes.
• Work withMedicalStaff Coordinator tomaintaincomputerizedsystem of monitoring and trendingphysician’sinformation – medical staff roster, and special reports as requested.
• Maintain confidential credentials files of all members of the Medical Staff andAdvanced Practice Providers.
• Maintainon-going Tickler system for reappointment of medical staff and APPstaff.
• Process requests forapplications:maintain records of applications provided.
• Review new applications for completeness,prepares, and sends for references.Recordstatus of responses.
• Send follow-uprequests when needed.
• Maintain current records of proctoring of physicians and assuresappropriate reviewby committeechairmenand Credentials Committee. Explains proctoring information tonew staffmembers.
• Assure that the reappointment process isinitiatedfor each member of the Medical Staff and theAdvanced Practice Providersin a timely manner.Follow upon missing information and obtainappropriate approvals.
• Prepare agendas, materials,placescalls to confirm attendance, attends meetings and takes minutes at selected meetings. Accurately and neatly types in prescribed manner. Proofreads to ensure accuracy.
• Accurately record statisticsin computeras directed.
• Accurately and consistently file information in credentials folders.
• Obtain signatures on credentials forms and credentials files as needed.
• Maintain ER drop-in call schedule, as needed.
• Accurately and neatlyfileminutes in eachappropriate threering binder as needed.
• Maintain confidentiality of all records and issues handledinthe Medical Staff Office.
• Fax monthly meeting calendar as requested by physicians.
• Maintain all tickler systems and rosters pertinent to the Medical Staff Office.
• Assistin general mailings to the Medical Staff.
• Maintainaccuratemaster mailing list for all current Medical Staff and APP Staff and committees.
• Order supplies as needed on a weekly basis.
• Assistin scheduling/coordinating meeting rooms for the Medical Staff.
• Postbulletin boards.
• Transcribe dictation from chief of staff, committeechairmen, administrators, and others asrequired.
• Photocopyaccuratelya multitude of requests by theLead Credentialing Specialist.
• Cover theLead Credentialing Specialistposition asrequired.
• Must be well organized for prioritization of responsibilities.
• Must be able to handle stressrelativeto rush projects and meeting deadlines. Must be able to work under pressure in a highly productive office.
• Must be able to cope with interruptions, varying personalities, and some irregular hours.
• Mustpossessorganizational and communication skills.
• Mustpossesswillingness to improve.
• Will be exposed to highly confidential Medical Staff proceedings and actions and sensitive Medical Staff information, including patient materials related to peer review, quality assurance, physician litigation, and consequences of physician behavior.
• Adhere to dress code in accordancewithhospital policy and wears name tag at all times.
• Other duties as assigned

LINES OF REPSONSIBILITES:

Other information:

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.

AGE SPECIFIC :

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirement relative to his or her age.

AMERICANS WITH DISABILITIES ACT: (ADA)

A. Essential Duties: Indicated by bold print within performance standards, preceding individual numbered criteria.

The following table provides physical requirements that will be associated with, but not limited to, this position:

Light/moderate lifting up to 20 lbs, from the floor to shoulder height.

Yes

Kneeling

Yes

Must be able to assist other employees with lifting more than 20 lbs.

Yes

Walking

Yes

Light/moderate carrying up to 20 lbs.

Yes

Yes

Straight pulling

Yes

Yes

Pulling hand over hand

Yes

Pushing

Yes

Repeated bending

Yes

Yes

Reaching above shoulder

Yes

Yes

Yes

Climbing Ladders

No

Dual simultaneous grasping

Yes

Depth Perceptions needed

Yes

Ability to see

Yes

Yes

Operating office equipment

Yes

Twisting

Yes

Operating mechanical equipment

Yes

No

Ability to read and write

Yes

Ability to Count

Yes

Ability to hear verbal communication without aid

Yes

Operating Personal Vehicle

Yes

Ability to comprehend written/verbal communication

Yes

Other: Ability to deal with stress

Yes

OSHA Category

III

B. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.

C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.

Intelligence: General learning ability: The ability to “catch on” or understand instructions and underlying principles. Ability to reason and make judgments. 3

Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3

Numerical: Ability to perform arithmetic operations quickly and accurately. 2

Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to “visualize” objects or two or three dimensions, or to think visually of geometric forms. 2

Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3

Clerical Perception: Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2

Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3

Finger Dexterity: Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3

Manual Dexterity: Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3

Eye-Hand-Foot Coordination: Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3

Color Discrimination: Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, and to match color adequately. 3

I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.

If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.

Employee Signature: ________________________________ Date: ____________________