Credentialing Specialist

SCA Health•UNAVAILABLE, UNAVAILABLE

About The Position

The Credentialing Specialist ensures timely and accurate management of facility practitioners’ credentialing files by processing initial and reappointment applications and providing credentialing resource services to facilities. The role operates within CRS policies and procedures and supports SCA Health’s mission, vision, and values. The specialist manages facility medical staff services and credentialing plans and supports facility management and medical staff with credentialing of physicians and allied health professionals, medical staff services, and physician performance management. The role maintains organized medical staff documentation and records, supports compliance with regulatory and accreditation requirements, and helps facility leadership prepare for accreditation surveys and maintain continuous readiness. It also provides guidance on credentialing, privileging, required documentation, file management, policies, and procedures, and participates in assigned credentialing meetings and communications.

Requirements

Minimum high school diploma or GED.
Professional training or experience in medical staff services and credentialing for the ambulatory surgery setting.
Initiative, good judgment, problem-solving and decision-making skills.
Strong organizational skills and ability to prioritize activities and function independently.
Effective teamwork skills, professionalism, and excellent communication and presentation skills.
Ability to prepare organized reports.
Basic computer knowledge and access to the Internet, Intranet, and email.

Nice To Haves

CPCS certification in medical staff services credentialing.
Credentialing experience.

Responsibilities

Ensure timely and accurate management of facility practitioners’ credentialing files.
Process initial and reappointment applications and provide credentialing resource services to facilities.
Direct and manage facility medical staff services and credentialing plans.
Support facility management and medical staff regarding medical staff services, credentialing of physicians and allied health professionals, and physician performance management.
Apply communication processes for medical staff committees and participate in organizational communication and networking through email, phone calls, and conference calls.
Assist in maintaining continuity in standards implementation for privileging, physician quality, and governance functions.
Serve as a resource for medical staff standards, credentialing and privileging guidelines, documentation protocols, medical staff file management, policies, and procedures.
Manage and maintain organized documentation and recordkeeping for medical staff services.
Maintain current electronic forms, policies, and procedures to support compliance with accrediting and regulatory bodies.
Assist with facility-specific compliance requirements related to medical staff and allied health professional credentialing.
Maintain current documentation of compliance with regulatory agencies, accrediting bodies, and governing bodies as it relates to medical staff services and credentialing.
Participate in facility preparations for accreditation surveys and continuous readiness related to medical staff standards, credentialing, and privileging.
Monitor medical staff operations and initiate changes when needed to promote compliance with regulatory and accreditation agencies.
Maintain working relationships, under facility management advisement, concerning credentialing and privileging issues and applicable bylaws, rules, and regulations.
Maintain knowledge of state-specific physician and allied health professional regulations in the ambulatory setting.
Participate in credentialing meetings and conference calls as assigned or requested.
Perform other duties assigned by managers.