Medical Staff Credentialing Specialist I

Baylor Scott & White Health; Denton (TX); On-site; USD 55,000 - 78,000; Full time

Job summary

Baylor Scott & White Health in Denton, TX, seeks a Credentialing Specialist to coordinate Medical Staff Services in alignment with Bylaws, Rules, and accreditation standards.

The role involves credentialing program implementation, annual bylaws reviews, and maintaining confidential credentials files, with opportunities to mentor staff and contribute to quality improvement initiatives.

Qualifications

• EDUCATION - H.S. Diploma/GED Equivalent
• EXPERIENCE - 3 Years of Experience
• Certification by the National Association of Medical Staff Services (CPMSM or CPCS) is preferred. Eligibility for certification within one year of hire is also preferred.

Responsibilities

• Implements new programs to meet the needs of the Medical Staff.
• Helps the Medical Staff with annual review of Medical Staff Bylaws, Rules and Regulations.
• Diligently monitors credentialing function to ensure compliance with Bylaws, State and Federal regulations.
• Communicates effectively with members of the Medical Staff, other medical professionals, hospital staff, legal counsel, and community contacts.
• Attends Credentials Committee and Executive Committee meetings of the Medical Staff and records minutes of the proceedings.
• Helps with the development, planning, and implementation of credentialing/privileging process.
• Tracks clinical privileges of medical staff and allied health staff and helps in development of privilege criteria.
• Monitors the focused professional practice evaluation process for new medical staff members and for newly granted clinical privileges.
• Ensures that all documents that have to be renewed are reviewed, obtained and managed on a monthly basis.
• Participates in Quality Improvement activities.
• Maintains confidential credentials files, electronic medical staff database, and medical staff correspondence.
• Performs other position appropriate duties as required in a competent, professional and courteous way.
• Acts as liaison between staff and management, and acts on behalf of management in the absence of such.
• Provides training and acts as a mentor for staff.

Skills

Database management

Credentialing services

Communication

Organizational skills

Staff liaison

Education

High school diploma or GED

Associates degree preferred

Job description

Baylor Scott & White Health in Denton, TX, seeks a Credentialing Specialist to coordinate Medical Staff Services in alignment with Bylaws, Rules, and accreditation standards.

The role involves credentialing program implementation, annual bylaws reviews, and maintaining confidential credentials files, with opportunities to mentor staff and contribute to quality improvement initiatives.