Credentialing Specialist

Presbyterian Healthcare Services • New York, NY

7d • $19 - $29 • Onsite

About The Position

Presbyterian is seeking a highly detail-oriented Credentialing Specialist to conduct comprehensive background investigations on physicians and healthcare providers seeking affiliation with our Albuquerque and regional facilities.

Requirements

• High School Diploma or GED.

Nice To Haves

• One (1) to three (3) years experience in hospital medical staff or managed care credentialing preferred.
• Certification or eligibility for certification as a Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) is preferred.

Responsibilities

• Analyze practitioner applications and/or requests to ensure that required documentation/information has been submitted in order to initiate the primary source verification processes.
• Conducts primary source verification of applicants education, licensure, professional work history, medical malpractice history for the purpose of determining competency and eligibility to be awarded membership and/or privileges.
• Prepares processed files for review by appropriate members of medical staff leadership, including identification of information that may require additional investigation.
• Utilizes appropriate tracking tools for the purpose of ensuring timely completion of applications.
• Collects/analyzes data from various sources to include with initial and/or reappointment applications. Such data includes but is not limited to focused professional practice evaluations, ongoing professional practice evaluations, and privileging eligibility criteria.

Benefits

• medical
• dental
• vision
• short-term and long-term disability
• group term life insurance
• other optional voluntary benefits
• Presbyterian's Employee Wellness rewards program

What This Job Offers

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