Medical Staff Specialist - Credentialing

T J REGIONAL HEALTH INC; Glasgow (KY); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Health insurance

Job summary

The Medical Staff Specialist - Credentialing position in Glasgow, KY supports credentialing and re-credentialing for healthcare providers. This role works with the Medical Staff Coordinator and MSS Director to verify applications, maintain the database, and ensure compliance with Joint Commission and CMS standards.

Responsibilities include data entry, verification processing, and timely communication with stakeholders.

Qualifications

• Must possess a high school diploma or equivalent.
• Some college or business college from an accredited curriculum desirable.
• Related work experience in healthcare is preferred

Responsibilities

• Process and execute developed plan for each applicant.
• Accurate and current data entry.
• Analyze verifications from primary sources and prepare red flags for reporting.
• Prepare submission for review by Medical Staff Coordinator and/or Director of MSS.
• Maintenance of current expirables for medical staff.
• Management of updated information in credentialing software system.
• Communication of medical staff documents to stakeholders.
• Assists with compliance for accreditation bodies.
• Assists with new provider onboarding processes.
• Assist with meeting minutes in conjunction with the Medical Staff Coordinator and/or Director of MSS.
• Assist with medical staff call schedules and notification of alterations.
• Other duties as assigned

Skills

Independent work

Microsoft Office

Prioritization

Professional communication

Follow-through

Confidentiality

Education

High school diploma

Some college desirable

Job description

Medical Staff Specialist - Credentialing

Job Category: Administration

• Full-Time

Locations

Showing 1 location

Glasgow, KY 42141, USA

Description

JOB SUMMARY

The Medical Staff Specialist will work in conjunction with the Medical Staff Coordinator and Director of Medical Staff Services to process credentialing and re-credentialing applications of health care providers, reviews applications, prepares verification letters and maintains database. Reviews applications and other data for accuracy and completeness. Performs verifications of reappointment applications by preparing requests for information correspondence, tracks responses and follow-ups for needed information. Obtains licensure, certification and insurance certificates at time of reappointment and maintains in database. Enters accurate and up-to-date data for each applicant into the database and response to verification requests. Works under the supervision of the Medical Staff Coordinator. Assist in compliance with The Joint Commission and CMS in regards to credentialing while developing and maintaining a working knowledge of the statutes and laws.

JOBREQUIREMENTS

§ Must possess a high school diploma or equivalent.

§ Some college or business college from an accredited curriculum desirable.

Work Experience

§ Related work experience in healthcare is preferred

§ Business administrative experience acceptable

Required Skills

§ Ability to work independently

§ Proficiency with Microsoft Office applications

§ Ability to prioritize work independently

§ Ability to communicate professionally and with various communication styles

§ High level of follow through with multiple project requirements

§ The highest level of confidentiality with both documentation and with day to day communication

FUNCTIONAL DEMANDS

Physical Requirements

Walking – Greater than 32%

Standing - Greater than 32%

Climbing/Kneeling - 16-31%

Twisting - 16-31%

OSHA Category

Minimal potential for direct body fluid exposure

Visual and Hearing Requirements

Must be able to hear clearly with assistance.

Must be able to see with corrective eyewear.

Color vision ability required.

Other Physical/Environmental Demands

Lifting - 0-50lbs, 50lbs or more with assistance

Carrying - 0-50lbs, 50lbs or more with assistance

Pulling - up to 100lbs

Pushing - up to 100lbs

LEADERSHIP CAPABILITIES

Supports the hospital Mission, Service and Values.

ESSENTIAL FUNCTIONS

§ Process and execute developed plan for each applicant.

§ Accurate and current data entry.

§ Analyze conducted verifications from primary sources and prepare any “red flags” for reporting.

§ Prepare submission for review by Medical Staff Coordinator and/or Director of MSS.

§ Maintenance of current expirables for medical staff.

§ Management of updated information in credentialing software system.

§ Communication of medical staff documents to stakeholders.

§ Assists with compliance for accreditation bodies.

§ Collegial support for external customers.

§ Handles proprietary information with confidentiality and protect the information according to hospital and department policy.

§ Assist with both initial and reappointment credentialing processes according to the department manual.

§ Support the Medical Staff Coordinator with establishing deadlines for credentialing and meeting those established deadlines.

§ Assist with new provider onboarding processes.

§ Assist with meeting minutes in conjunction with the Medical Staff Coordinator and/or Director of MSS.

§ Assist with medical staff call schedules and notification of alterations.

§ Other duties as assigned

NONESSENTIAL FUNCTIONS

§ Support goals of the organization through community efforts approved by hospital.

§ Support for medical staff functions.

Qualifications

Education

Required

High School or equivalent or better.

Equal Opportunity Employer
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