MEDICAL STAFF OFFICE - CREDENTIALING SPECIALIST

Mountain View Hospital; Idaho Falls (ID); In loco; USD 40.000 - 60.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical insurance

Dental & Vision

401K with match

Quarterly bonus

Education reimbursement

Procedures discount

Descrizione del lavoro

Mountain View Hospital is seeking a Credentialing Specialist to ensure all medical staff meet Idaho CMS standards and hospital rules. You will credential new providers, complete bi-annual recredentialing, and prepare materials for evaluations and reviews.

You will assist in quality assurance and data collection across departments. This role requires high school education and medical clerical experience, with certification options (CPCS/CPMSM) pursued as needed.

Competenze

• High School graduate or equivalent.
• Medical clerical experience preferred.
• Certification in CPCS or CPMSM or working toward certification.

Mansioni

• The Credentialing Specialist will compile initial and re-credentialing packets.
• Distribute initial and re-credentialing packets and verify provider affiliations.
• Gather licensure, education certificates, CME credits, and health background information.
• Search National Practitioner Data Bank, AMA and other investigative agencies for provider information.
• Prepare documentation for Mountain View Hospital Credentialing Committee and Board of Managers.
• Inform department managers on new medical staff members and updates.
• Update provider information in hospital databases and CPSI systems.
• Assist FPPE and peer review processes as needed.

Conoscenze

Medical clerical

Multitasking

Pressure handling

Formazione

High School diploma or equivalent

Descrizione del lavoro

Job Details:

Job Location: Admin 3 - Idaho Falls, ID
Position Type: Full Time
Education Level: High School
Salary Range: Undisclosed
Job Category: Health Care

JOB SUMMARY:

Ensure all members of the Mountain View Hospital medical staff are compliant according to Idaho CMS standards and the Rules and Regulations of Mountain View Hospital. Credential all new provider files for Mountain View Hospital’s Credentialing Committee and Board of Managers. Complete bi-annual recredentialing requirements of existing staff members. Prepare all documentation and materials needed for medical staff evaluations and review processes. Assist in medical staff management when needed. Monitor all providers within facility and those requesting patient information outside of the facility. Assist in quality assurance and compliance measures by tracking and standardizing all orders and forms within the facility. Assist the compliance department with all data collection, data reporting and statistical evaluations.

BENEFITS:

• Medical, Dental and Vision Insurance
• Paid Time Off (vacation, holidays and sick days) and Medical Paid Time Off
• Retirement Plans (401K with up to 6% match)
• Earned Quarterly Bonus Program
• Education Reimbursement Program
• Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital

Please note benefits are based on eligibility according to full-time, part-time or PRN status classification.

DUTIES AND RESPONSIBILITIES:

1. The Credentialing Specialist will perform a variety of duties, including, but not limited to:
   • a. Compilation of initial and re-credentialing packets.
   • b. Distribution of initial and re-credentialing packets.
   • c. Verify all providers outside affiliations and peer evaluations.
   • d. Gather all required medical licensure, certificates of education, board certifications, continued medical education (CME) credits, and health background information.
   • e. Search National Practitioner Data Bank, America Medical Association and any other investigative agencies for further provider information.
   • f. Review all credentialing files with Chief Compliance Officer prior to Credentialing Committee.
   • g. Review files with Chief of Medical Staff when asked to do so.
   • h. Prepare all documentation for Mountain View Hospital Credentialing Committee and Board of Managers.
   • i. Inform all initial and re-credentialed applicants of staff status once Board of Managers is completed.
   • j. Update provider’s information in hospital databases including physician database, intranet, CPSI.
   • k. Create, disseminate and research information regarding clinical procedures and delineations.
   • l. Inform and brief all department managers on new medical staff members.
   • m. Refer all new providers to the Physician Liaison for dynamic voice numbers and hospital tours.
   • n. Investigate all visiting providers within the facility.
   • o. Verify all provider information outside of the facility when patient is admitted to Mountain View Hospital for outpatient procedures.
   • p. Trend all occurrences that directly correlate with members of the medical staff.
   • q. Assist Chief Compliance Officer in data collection and presentation of all materials for Medical Executive Committee.
   • r. Distribute additional information to all medical staff members following Medical Executive Committee when deemed necessary.
   • s. Assist Chief Compliance Officer in overseeing all focused professional practice evaluations (FPPE) and peer review processes.

About Mountain View:

Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting edge care to our patients. We serve the entire Snake River Valley – all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice.

Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day. If you are looking for a career where you can make a difference in your community, we invite you to apply.

Qualifications:

Education/Certification: High School graduate or equivalent.

Experience:

Medical Clerical experience preferred. Must hold or work towards certification as a Certified Provider Credentialing Specialist (CPCS) or Certified Professional in Medial Services Management (CPMSM) or work towards obtaining certification.

Performance:

Be able to work well under pressure. Must be able to multi-task.