Credentialing Specialist | Full-Time, Day Shift

Phelps Health

75d

About The Position

The Credentialing Specialist is responsible for the daily operations of the Medical Staff office, coordination of Medical Staff activities, communication with administration and department managers relating to Medical Staff problems, concerns, and communications.

Requirements

• High School diploma or equivalent required.
• Minimum of two years’ experience in credentialing within the insurance, acute care hospital, or other entity involved in credentialing required.

Nice To Haves

• Associates degree or equivalent experience in related business/secretarial medical field preferred.
• Certification/License Certified in Medical Staff Credentialing preferred.

Responsibilities

• Ensures The Joint Commission and other relevant accreditation agency standards, policies, and procedures are met with regard to medical staff credentialing methods.
• Prepares, disseminates, collects, reviews and processes applications for appointment and reappointment to the Medical Staff; requests for change in department, privileges, and/or Staff status according to established policy and procedures.
• Performs primary source verification of practitioner data, running queries in the National Practitioner Data Bank (NPDB), and ensuring that credentialed files are complete and maintained in an accurate, efficient and timely manner.
• Keeps Administration informed of Medical Staff concerns/issues.
• Is responsive to Administration, Department Directors, and Physician requests.

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees