Credentialing Assistant (Hybrid) - FPP Physicians Network

Washington University in St. Louis • St. Louis, MO

22h • Hybrid

About The Position

Supports and facilitates all aspects of the system credentials verification process for medical staff and managed care provider appointments and re-appointments, including credentials verification of allied health providers as required. This role is accountable for the initial and continuous verification of credentials of medical staff members, healthcare/allied health providers for medical staff and managed care providers. It ensures 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. The position also ensures the maintenance of current and accurate data in the system credentials database, utilizes the database to produce reports, and maintains permanent credentials files, ensuring accuracy and readiness for audits. Additionally, the role participates in training personnel on credentialing verification issues and assures the confidentiality and integrity of the credentialing verification program.

Requirements

• High school diploma or equivalent high school certification or combination of education and/or experience.
• Relevant Experience (3 Years)

Nice To Haves

• No specific certification/professional license is required for this position.
• No additional education unless stated elsewhere in the job posting.
• No additional certification/professional licenses unless stated elsewhere in the job posting.
• No additional work experience unless stated elsewhere in the job posting.
• Skills: Credentialing, Medical Offices, Medical Staff Credentialing

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.
• Performs other duties as assigned.

Benefits

• Up to 22 days of vacation, 10 recognized holidays, and sick time.
• Competitive health insurance packages with priority appointments and lower copays/coinsurance.
• Free Metro transit U-Pass for eligible employees.
• 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!
• 4 weeks of caregiver leave to bond with your new child.
• Family care resources are also available for your continued childcare needs.
• Adult care resources.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees