Credentials Specialist

Nemours Children's Health•Wilmington, DE

8d•Onsite

About The Position

Nemours Children's Health is seeking a Credentials Specialist I to join their team in Wilmington, DE. This position is responsible for following departmental policies and procedures to collect data for the verification and evaluation of credentials of providers applying for initial appointment and reappointment. This position serves as the contact point for provider applicants. Individuals in this role also interact with medical staff members, medical staff leaders, hospitals and practice administration and Nemours management. Through the work performed, individuals in this position assist the Department in complying with applicable accreditation standards. The individuals in this role are responsible for maintaining accurate and complete credentials files and databases, identifying potential issues, and bringing them to the attention of the appropriate leaders.

Requirements

Must have an Associate Degree.
Minimum three (3) years of experience required.
CPCS and CPMSM Certifications required.

Nice To Haves

MD staff experience preferred.

Responsibilities

Follow departmental policies to collect data for the verification and evaluation of medical staff credentials.
Obtain primary source verification of professional credentials for applicants to the medical staff and practices in accordance with departmental policy.
Collect data and prepare medical staff reappointment files for presentations to various committees and physicians.
Maintain the confidentiality of highly sensitive practitioner-specific information.
Maintain accurate, complete and timely information in the credentials software system.
Assist in the maintenance of systems to track expiring documents.
Assist in the preparation and updating of all required documents.
Use discretion in preparing reports and releasing such reports containing highly sensitive practitioner-specific information.
Respond to queries regarding status of pending applications.
Other duties as assigned.