Credentialing Assistant (Hybrid) - Anesthesiology
About The Position
Scheduled Hours 40 Position Summary Supports and facilitates all aspects of the system credentials verification process for medical staff and managed care provider appointments and re-appointments. Includes credentials verification of allied health providers as required. Performs initial enrollment with Missouri and Illinois Medicaid as well as performs ongoing tasks, including revalidation and required updates, to maintain active enrollment for all Department billable and OPR providers. Job Description Primary Duties & Responsibilities: Serves as accountable for initial and continuous verification of credentials of medical staff members, health care/allied health providers for medical staff and managed care providers. Serves as accountable for ensuring ongoing state and federal licensure, compliance with JCAHO and NCQA standards and observance of applicable hospital medical staff by laws and managed care provider contracts and agreements. Ensures maintenance of current and accurate data/information in system credentials database. Appropriately utilizes the database to produce reports, lists, rosters, etc., assisting BJC facilities as needed. Maintains the permanent credentials files on all applicable medical staff members, managed care and allied health providers. Assures accuracy of records and maintains a state of readiness at all time for review/audit by delegated entities, licensing and accrediting agencies. Participates in training and development of HMP personnel on credentialing verification issues. Assures the confidentiality and integrity of all aspects of the credentialing verification program and process. Working Conditions: Job Location/Working Conditions Normal office environment. Physical Effort Typically sitting at a desk or table. Equipment Office equipment. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.
Requirements
- High school diploma or equivalent high school certification or combination of education and/or experience.
- Relevant Experience (3 Years)
Responsibilities
- Serves as accountable for initial and continuous verification of credentials of medical staff members, health care/allied health providers for medical staff and managed care providers.
- Serves as accountable for ensuring ongoing state and federal licensure, compliance with JCAHO and NCQA standards and observance of applicable hospital medical staff by laws and managed care provider contracts and agreements.
- Ensures maintenance of current and accurate data/information in system credentials database.
- Appropriately utilizes the database to produce reports, lists, rosters, etc., assisting BJC facilities as needed.
- Maintains the permanent credentials files on all applicable medical staff members, managed care and allied health providers.
- Assures accuracy of records and maintains a state of readiness at all time for review/audit by delegated entities, licensing and accrediting agencies.
- Participates in training and development of HMP personnel on credentialing verification issues.
- Assures the confidentiality and integrity of all aspects of the credentialing verification program and process.
Benefits
- Up to 22 days of vacation, 10 recognized holidays, and sick time.
- Competitive health insurance packages with priority appointments and lower copays/coinsurance.
- Take advantage of our free Metro transit U-Pass for eligible employees.
- WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
- Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
- We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered.
- WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
