Credentialling and Privileging specialist - Nashville, TN

Nashville General Hospital; Nashville (TN); Sur place; USD 55 000 - 75 000; Plein temps

Résumé du poste

Nashville General Hospital is seeking a Credentialing and Privileging Specialist in Nashville, TN. The role involves compiling provider data, processing credentialing and re-credentialing, and coordinating with medical staff and committees.

Responsibilities include FPPE/OPPE data management, maintaining licenses and certifications, and ensuring accurate provider records in credentialing systems. Strong communication and detail orientation are essential for success in this position.

Qualifications

• Expert knowledge of credentialing processes and standards.
• Ability to organize, prioritize work and manage multiple tasks.
• Excellent verbal and written communication skills.
• Strong attention to detail and accuracy in record-keeping.
• Ability to research, analyze data and verify information.

Responsabilités

• Compiles and maintains current and accurate data for all providers.
• Completes provider credentialing and re-credentialing applications; monitors applications and follows up as needed.
• Credentialing of fellows and setup of clinical students rotating through Nashville General Hospital.
• Develop and maintain rapport with Chief of Service, Medical Staff, and affiliates.
• Responsible for FPPE and OPPE data related to credentialing requirements.
• Maintain current copies of licenses, DEA certificates, malpractice, board certifications for providers.
• Set up and maintain provider information in credentialing databases and systems.
• Maintain appointment files and credentialing information.
• Provide privileging verifications.
• Support Medical Staff Committees by attending and hosting meetings, taking minutes, scheduling activities.
• Perform NPDB enrollments and queries.
• Coordinate events and activities hosted by Medical Staff Services.
• Backup for payer enrollment tasks if needed.
• Maintain confidentiality of provider information.
• Answer the telephone and take messages.

Connaissances

Credentialing process expertise

Prioritization & organization

Verbal & written communication

Attention to detail

Data analysis

Independent work

Relationship building

Outils

Microsoft Office

Description du poste

Credentialling and Privileging specialist - Nashville, TN

Job Openings Credentialling and Privileging specialist - Nashville, TN

About the job Credentialling and Privileging specialist - Nashville, TN

Credentialing and Privileging Specialist at Nashville General Hospital

Educational Requirements: Three years of privileging experience required.

Certification & Licensure: Certification by NAMSS is desirable, but not required.

Experience: Minimum of 3-5 years experience in privileging of medical staff, allied and medical staff and providing support of medical staff Committees.

Job Duties

1. Compiles and maintains current and accurate data for all providers.


2. Completes provider credentialing and re-credentialing applications; monitors applications and follows up as needed, either manually or using software.


3. Will be responsible for the credentialing of fellows and the setup of other clinical students that rotate through Nashville General Hospital.


4. Develop and maintain and good rapport with the Chief of service, members of the Medical Staff, and affiliates.


5. Responsible for FPPE and OPPE data in relation to credentialing requirements.


6. Maintains current copies of state licenses, DEA certificates, malpractice coverage, board certifications, and other required credentialing documents for all providers.


7. Sets up and maintain provider information in online credentialing databases and systems.


8. Maintains appointment files and information in the credentialing database.


9. Provide privileging verifications.


10. Supports medical staff committees by attending and hosting meetings, taking minutes, and scheduling activities of the committees.


11. Perform NPDB enrollments and queries.


12. Responsible for participation and coordination of events, meetings, and other activities hosted by the Medical Staff Services.


13. Will serve as a backup for payer enrollment task if needed.


14. Maintains confidentiality of provider information.


15. Answer the telephone and take accurate messages.

Skills Required

1. Expert knowledge and understanding of the credentialing process.


2. Ability to organize and prioritize work and manage multiple priorities.


3. Excellent verbal and written communication skills.


4. Excellent attention to detail.


5. Ability to research and analyze data.


6. Must be able to work independently, with minimal supervision.


7. Ability to establish and maintain effective and productive working relationships with providers, management, staff, and contacts within and outside the organization.


8. Must be proficient in the use of Microsoft Office applications.