Credentialing Specialist - Full Time - Morristown Medical Center

Atlantic Health System•Morristown, NJ

12h

About The Position

The ideal candidate will provide an unparalleled reappointment experience for both Atlantic Health and private practice Physicians and Advanced Practice Providers. May also provide an onboarding experience for those applicants new to the system. Essential Duties and Responsibilities: The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive. Effectively communicate across all involved parties within the onboarding process, including but not limited to Senior Leadership, Recruitment, Revenue Cycle, Business Development, Human Resources, Operations, and Marketing to ensure a streamlined onboarding process for Physicians and Advanced Practice Providers (APPs). Develop and maintain strong working knowledge of all databases including but not limited to, Echo/ CredentialStream or any new system that AHS may engage with for onboarding. Review all documentation submitted by Physicians and APPs for completeness, including but not limited to Application, privileges, mandatory training, releases, waivers and any other required information. Participate in other duties and responsibilities as assigned to onboard and retain physicians. Ensure data entry is correct and complete as this information is automatically shared with Epic, Find a Doc, and the internal directory. Work with office managers, HR, Provider Enrollment and others to determine the current primary office address and group name to ensure they are able to access group and patient listings. Ensure privileges are entered correctly as this directly affects patient care. Review specialty and board certification specialties as these fields will determine what order sets the providers will have access to. Process reappointment applications in accordance with the Bylaws, Rules and Regulations, Joint Commission and CMS required standards. Process triennial reappointments by specialty on a quarterly basis Review reappointments for any outstanding requirements and ensure a waiver request is completed and presented to the Director. Run OPPE reports every 6 months in Vizient and report out any outliers to the Department chairs. Filing and archiving as needed Processing of initial applications may be performed once fully trained. Prepare quarterly reappointment listing to be submitted to the Board of Trustees

Requirements

High School Diploma required.
2 years of experience working in HealthCare, Credentialing Services or other relevant area required
Ability to communicate clearly and professionally, and represent Department in a positive manner.
Excellent verbal and written communication skills, including superior grammar and proofreading skills.
Excellent interpersonal skills with the ability to engage at all levels of the organization.
Demonstrate a professional and adaptable demeanor with internal and external clients, including administrators, physicians, peers, and support staff.
Exhibit a high energy level and demonstrate the ability to work within a team.
The ability to multi-task, plan and prioritize a large volume of detail-oriented work in accordance with changing deadlines.
The ability to work with minimum supervision, set priorities, and follow through to accomplish results.
Strong computer technology skills including, but not limited to, Microsoft Outlook, Microsoft Word, Excel, and PowerPoint.
Demonstrated ability to conduct Internet research in an efficient, productive manner.

Responsibilities

Effectively communicate across all involved parties within the onboarding process, including but not limited to Senior Leadership, Recruitment, Revenue Cycle, Business Development, Human Resources, Operations, and Marketing to ensure a streamlined onboarding process for Physicians and Advanced Practice Providers (APPs).
Develop and maintain strong working knowledge of all databases including but not limited to, Echo/ CredentialStream or any new system that AHS may engage with for onboarding.
Review all documentation submitted by Physicians and APPs for completeness, including but not limited to Application, privileges, mandatory training, releases, waivers and any other required information.
Participate in other duties and responsibilities as assigned to onboard and retain physicians.
Ensure data entry is correct and complete as this information is automatically shared with Epic, Find a Doc, and the internal directory.
Work with office managers, HR, Provider Enrollment and others to determine the current primary office address and group name to ensure they are able to access group and patient listings.
Ensure privileges are entered correctly as this directly affects patient care.
Review specialty and board certification specialties as these fields will determine what order sets the providers will have access to.
Process reappointment applications in accordance with the Bylaws, Rules and Regulations, Joint Commission and CMS required standards.
Process triennial reappointments by specialty on a quarterly basis
Review reappointments for any outstanding requirements and ensure a waiver request is completed and presented to the Director.
Run OPPE reports every 6 months in Vizient and report out any outliers to the Department chairs.
Filing and archiving as needed
Processing of initial applications may be performed once fully trained.
Prepare quarterly reappointment listing to be submitted to the Board of Trustees