Credentialing and Privileging Specialist

Monument Health Rapid City Hospital•Rapid City, SD

1d•$21 - $26

About The Position

Completes credentialing, privileging, enrollment, proctorship, and orientation activities for the Medical Staff and other providers. Acts as a recording secretary for the applicable department meetings. Plans, coordinates and provides support to the staff as needed. States eligible for remote work: SD, FL, GA, OH, SC, TN, TX, VA, WY, AK Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include: Supportive work culture Medical, Vision and Dental Coverage Retirement Plans, Health Savings Account, and Flexible Spending Account Instant pay is available for qualifying positions Paid Time Off Accrual Bank Opportunities for growth and advancement Tuition assistance/reimbursement Excellent pay differentials on qualifying positions Flexible scheduling

Requirements

Education - High School Diploma/GED Equivalent in General Studies

Nice To Haves

Experience - 3+ years of Administrative Experience
Experience - 3+ years of Healthcare Experience
Education - Associates degree in Healthcare

Responsibilities

Assists in processing new and reappointment applications including but not limited to board certifications, all state licenses, databanks, federations, credentials verification, exclusion checks, etc.
Assists in the credentialing and privileging process and provides support to the Medical Staff Coordinator.
Communicates necessary information and requests to the VPMA, Medical Staff Coordinator, and other department staff.
Composes correspondence, memos, and reports in an accurate and professional manner in response to the Medical Staff and VPMA needs.
Coordinates orientation and proctorship for new physicians and other practitioners with privileges.
Maintains, monitors, and reports expirations of physician and practitioner licenses, insurance, DEA numbers, TB test results, and other items as required.
Prepares agendas and accurately records and transcribes minutes of medical staff department meetings, committee meetings, and other committee meetings of the Medical Staffs’ leadership (i.e. Executive Council).
Applies for and maintains compliant Federal, State, and other third-party payor professional provider numbers for all providers employed or contracted by Monument Health.
Provides oversight for and maintains the provider enrollment database for appropriate task management, provider communication, and repository of applications and files.
Completes necessary enrollment, re-enrollment, and change applications in an accurate and timely manner.
All other duties as assigned.