Credentialing Specialist

Iberia Medical Center • New Iberia, LA

7d

About The Position

Iberia Medical Center (IMC) is hiring a full-time Credentialing Specialist for its Quality Department. Under the general supervision of the Quality Director, the specialist credentials physicians and other healthcare professionals and manages implementation, evaluation, and process management of the hospital and medical staff’s OPPE/FPPE program. The role coordinates credentialing and privileging, maintains credentialing records and files, and supports review of completed files for recommendations on appointments and privileges.

Requirements

• Associate degree, or high school education with CPCS certification and at least 3 years of experience in a credentialing role.
• Current CPCS certification, or willingness to become certified within 12 months of hire.
• Good interpersonal and professional communication skills.
• Knowledge of methods for collecting and analyzing data and information.
• Knowledge of computer terminology and computer skills, including spreadsheets, tables, and word processing.

Nice To Haves

• Credentialing experience is preferred but not required when the candidate has an active CPCS certification.

Responsibilities

• Collect data for Ongoing Professional Practice Evaluation (OPPE) and conduct Focused Professional Practice Evaluation (FPPE).
• Coordinate credentialing and privileging for physicians, podiatrists, dentists, and allied health staff, including appointments, reappointments, and changes in privileges.
• Verify applicants’ competence, education and training, board certifications, affiliations, work history, references, licensure and certifications, malpractice coverage, CME, and requested privileges.
• Query the National Practitioner Data Bank as appropriate.
• Manage expiring files as appropriate.
• Maintain the credentialing database and ensure its accuracy and completeness.
• Organize and maintain credentials files in the medical staff office.
• Present completed files to the Medical Director of Quality for review and submission to the Credentials Committee for recommendations on appointments and privileges.
• Maintain working knowledge of Medical Staff Bylaws and applicable hospital policies to support medical staff compliance.
• Apply current Joint Commission standards and applicable state and federal laws to the credentialing process.
• Handle confidential matters with a high degree of responsibility.

Benefits

• Medical benefit plan
• Early access to earned wages
• Participation in a state pension plan
• Dental insurance
• Vision insurance
• Life insurance
• Disability insurance

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree