Medical Staff Credentialing Specialist

Texas Tech University•El Paso, TX

50d•Onsite

About The Position

Responsible for all aspects of the credentialing, re-credentialing, and privileging processes for all medical staff members who provide patient care, treatment, and service at TTUHSC El Paso.

Requirements

Associate's degree from an accredited college or university or an equivalent combination of education and experience is required
Three years of Credentialing experience in a managed care plan, medical staff services office or credentialing verification office

Nice To Haves

Three years of Credentialing experience in a managed care plan, medical staff services office or credentialing verification office.
Strong analytical skills with the ability to assess compliance, record, analyze, and interpret data into meaningful formats.
Demonstrated ability to effectively communicate (orally and written) while also displaying excellent interpersonal skills.
Bachelor's degree desired.
Demonstrated understanding of credentialing accreditation standards.
Demonstrated understanding on initial credentialing and re-credentialing practices for medical professionals including primary source verification methods, and compliance monitoring.

Responsibilities

Ensures compliance with TTUHSC El Paso Medical Staff Bylaws, Rules and Regulations and other accrediting and regulatory agencies such as the Joint Commission, NCQA and DNV
Coordinates in the credentialing process for the medical staff, allied health professionals and temporary privileges
Enters accurate and up to date data of new providers into the credentialing database to include but not limited to demographic and personal information, education/training, licensure, DEA, liability information, board certification status, NPI numbers, ECFMG certifications, etc.
Ensures credentialing file is complete and accurately verified along with all required documentation prior to view of the Credentialing Committee
Ensures that all expired credentials are reviewed, obtained, and managed on a timely basis according to the credentialing policy and procedures
Maintains confidentiality of all business/work and medical staff information
Assists the Credentialing Services Managing Director and Manager in ensuring compliance with relevant Joint Commission Standards
Participates in regulatory survey preparation as well as the actual survey
Participates in the development and implementation of credentialing policy and procedures
Remains current with all licensure, certifications and mandatory compliances and trainings required of this position.
Adhere to all TTUHSCEP policies, procedures and processes
Personally demonstrate, display and act in accordance with TTUHSC EP's Values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork). Serve as a Value's leader while actively promoting and encouraging staff across the institution
Perform all other duties as assigned