Credentialing Specialist (ASC)

InterMed PA • South Portland, ME

323d

About The Position

The Credentialing Specialist (ASC) is responsible for managing the credentialing and privileging processes for surgeons and surgical Advanced Practice Providers (APPs) using innovative provider data management tools. This role supports the peer review process for the Surgical Medical Staff and carries out onboarding programs for new staff. The specialist will track providers' expirable documents, engage in primary source credentialing, and support quality assurance activities including Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE). The position requires creative problem-solving to foster continuous quality and process improvement while collaborating with clinical teams and leadership.

Requirements

• Bachelor's degree preferred.
• Experience in healthcare credentialing and privileging preferred.
• Ability to use independent judgment and to manage and impart confidential information.
• Knowledge of medical staff affairs operational process.
• Knowledge of medical credentialing and privileging procedures and standards.
• Knowledge of related accreditation and certification requirements.
• Working knowledge of clinical and/or ASC operations and procedures.
• Knowledge of clinical privilege criteria development.
• Knowledge of medical staff policies, regulations, and bylaws and the legal environment within which they operate.
• Knowledge of performance improvement techniques.
• Information research skills.
• Ability to analyze, interpret, and draw inferences from research findings, and prepare reports.
• Ability to communicate effectively, both orally and in writing with all levels of the organization.
• Knowledge of project management principles, practices, techniques, and tools.
• Database management skills including query and report generation.
• Ability to make sound administrative/procedural decisions and judgments.
• Ability to effectively organize, prioritize and delegate tasks to achieve departmental goals.

Nice To Haves

• Experience with electronic credentialing and privileging platform preferred.

Responsibilities

• Uses innovative, state-of-the-art provider data management tools to carry out credentialing and privileging processes for surgeons and surgical APPs.
• Supports the peer review process for Surgical Medical Staff.
• Carries out onboarding programs for Surgical Medical Staff.
• Uses protocols and systems for tracking providers' expirable documents required for privileges.
• Engages in the primary source credentialing process to verify education, training, licensure, board certification, references, insurance, etc. for privileges applicants.
• Administratively supports the ASC's quality assurance activities including OPPE and FPPE processes.
• Creatively seeks solutions to foster continuous quality and process improvement.
• Works in partnership with clinical teams, practice leadership, and senior leadership teams.

Benefits

• Equal opportunity workplace that prohibits discrimination or harassment of any kind.

What This Job Offers

• Job Type: Full-time
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree