Credentialing Specialist

Ochsner Clinic Foundation • New Orleans, LA

11d

About The Position

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job primarily assumes responsibility for the credentialing of new appointments and biennial reappointments of the Employed Physicians and Advance Practice Clinician of the company. Complies with strict guidelines and standards set by JCAHO, CMS and contractual agreements with health care providers. Assumes responsibility for Administration and Medical Legal aspects for employed physicians. Coordinates medical staff committee meetings and performs administrative functions as an ASST to the Director of Medical Staff Services To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Requirements

• Education Required - High School diploma or equivalent
• Work Experience Required - 3 years business experience at the level of administrative asst.
• Must have computer skills and dexterity required for data entry and retrieval of information.
• Effective verbal and written communication skills and the ability to present information clearly and professionally.
• Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
• Strong interpersonal skills.
• Knowledge of credentialing principles, including the Medical Staff Standards of JCAHO and Credentialing Standards of CMS.
• Knowledge of medical and postgraduate education.
• Typing and word processing skills of 50wpm.
• Analytic skills.
• Ability to use and experience exercising good judgment in handling difficult situations, functioning calmly in pressure situations, and adapting to frequent interruptions.
• Detail-oriented, assertive, self-directed and the ability to work with minimal supervision.
• Ability to travel thoughout facility.
• Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible. Mechanical lifting devices (carts, dollies, etc.) or team lifts should be utilized.
• Must be able to sit for prolonged periods of time.
• Must be able to work a flexible work schedule (e.g. 24/7, weekend, holiday, on call availability).
• Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.
• There is no occupational risk for exposure to communicable diseases
• Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.

Nice To Haves

• Experience in a medical staff services/credentialing or health care related field

Responsibilities

• Performs credentialing process.
• Maintains credentialing database.
• Performs general administrative duties.
• Performs medical staff liaison duties.
• Performs special assignments as required.
• Other duties as assigned.
• Other related duties as required.
• Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
• This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED