Specialist-Credentialing

Baptist Memorial Health Care Corporation; Memphis (TN); On-site; USD 42,000 - 54,000; Full time

Job summary

Baptist Memorial Health Care Corporation is seeking a Credentialing Administrator to support the credentialing, recredentialing and privileging processes in a healthcare setting. You will work with leaders and facility contacts to meet deadlines and ensure compliance with The Joint Commission, NCQA, and other regulatory standards.

The role includes maintaining practitioner databases, generating reports, and providing support for committees and audits, with daily tasks aligned to policy and

Qualifications

• Three years of office experience in a health care or business environment.
• Credentialing experience is preferred.
• Associate’s degree or equivalent experience in a related field.

Responsibilities

• Administers credentialing, recredentialing/reappointment and privileging process for designated providers assuring compliance with applicable accrediting and regulatory standards.
• Coordinates verification of documentation and associated information assuring accuracy and timely follow-up.
• Administers and maintains comprehensive practitioner databases and files with particular emphasis on integrity and completeness of documentation.
• Provides status reports, ad hoc queries, and other documents and summaries as requested.
• Provides administrative support to appropriate leaders and applicable committees to assist them in carrying out their responsibilities and complying with the requirements outlined in the Bylaws, Policy/Procedures and Hospital Rules and Regulations.
• Executes daily tasks and special assignments to assure compliance with production and quality standards as well as fostering team approach.
• Completes assigned goals.

Skills

Administrative experience

Education

Associate's Degree in office administration, business, computer science or related field

Tools

Microsoft Word

Microsoft Excel

Job description

Overview

Job Summary

Assists with the operational administration of the credentialing and recredentialing/reappointment processes. Executes daily tasks based on implemented policies and procedures to assure compliance with applicable credentialing standards including The Joint Commission, NCQA and/or accrediting and regulatory bodies. Coordinates with appropriate leaders and facility/office contacts during initial appointment and recredential/reappointment process to meet set deadlines/committee approvals. Assists with file/report preparation and planning for Committee/Board review as well as other regulatory surveys/audits. Performs other duties as assigned.

Responsibilities

• Administers credentialing, recredentialing/reappointment and privileging process for designated providers assuring compliance with applicable accrediting and regulatory standards.
• Coordinates verification of documentation and associated information assuring accuracy and timely follow-up.
• Administers and maintains comprehensive practitioner databases and files with particular emphasis on integrity and completeness of documentation.
• Provides status reports, ad hoc queries, and other documents and summaries as requested.
• Provides administrative support to appropriate leaders and applicable committees to assist them in carrying out their responsibilities and complying with the requirements outlined in the Bylaws, Policy/Procedures and Hospital Rules and Regulations.
• Executes daily tasks and special assignments to assure compliance with production and quality standards as well as fostering team approach.
• Completes assigned goals.

Specifications

Experience

Minimum Required

• Three years office experience in a health care or business environment providing administrative or support services. Previous credentialing experience.

Education

Minimum Required

• Completion of Associate's Degree in office administration, business, computer science or related field or equivalent experience.

Special Skills

Minimum Required

• Knowledge and proficiency in the use of personal computers including Microsoft Office solutions e.g. Word and Excel.