Medical Staff Credentialing Specialist - Full-time with Benefits

Frederick HealthFrederick, MD
$22 - $31Onsite

About The Position

Responsible for medical staff office functions, working closely with Medical Staff Credentialing Coordinators. Supports and incorporates the Frederick Health (FH) mission, vision, core values, and customer service philosophy into daily work. Adheres to the FH Compliance Program, regulatory requirements, and FH Standards of Behavior.

Requirements

  • At least two years of experience in credentialing or a medical staff services setting required.
  • High School Diploma required.
  • Advanced proficiency in MS Word, Excel, and Outlook.
  • Advanced proficiency in MS Office (Word, Excel, PowerPoint, Outlook)
  • Knowledge of credentialing software (preferably CredentialStream)
  • Strong interpersonal communication and problem-solving skills
  • Ability to work independently and meet deadlines
  • Excellent organizational skills to manage multiple tasks
  • Data interpretation and report creation skills
  • High level of confidentiality
  • Medical terminology knowledge

Nice To Haves

  • Experience with Meditech Expanse preferred.

Responsibilities

  • Oversee onboarding for medical students and medical staff job shadowing.
  • Research, monitor, and update non-staff provider licensure and OIG status.
  • Collaborate with other departments to verify non-staff providers’ compliance with OIG and active medical licenses for ordering outpatient tests.
  • Work with IT to update provider dictionary (license expiration dates, office address changes).
  • Ensure accurate medical staff information is available to departments, committees, and the public.
  • Maintain working knowledge of Medical Staff Bylaws and policies to ensure compliance.
  • Attend medical staff and other meetings as needed.
  • Prepare agendas, materials, and minutes for meetings.
  • Assist with communication regarding provider deficiencies and suspensions.
  • Support provider orientation and ID verification.
  • Monitor medical staff vaccine and mandatory CBL (computer-based learning) compliance.
  • Assist with reconciling invoices, statements, and check requests.
  • Process reappointments after Board Quality review.
  • Initiate CredentialStream Onboard workflows for new providers.
  • Assign CBLs in NetLearning.
  • Initiate IPPE reviews (90 days post-orientation for physicians; 30 & 60 days for APPs).
  • Initiate DrFirst e-prescribing requests.
  • Upload records into CredentialStream.
  • Discontinue user access upon resignation or suspension.
  • Reassign supervising physicians for Physician Assistants as needed.
  • Refine and troubleshoot CredentialStream reports.
  • Email deficiency notifications to physicians and APPs.
  • Initiate administrative suspension procedures.
  • Communicate restoration of administrative rights after suspension is lifted.
  • Prepare CDC quarterly Covid report.

Benefits

  • Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs.
  • Life insurance, Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees.
  • Frederick Health offers a robust Paid Time Off program for eligible employees.
  • Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees.
  • All employees have access to free financial planning sessions.
  • We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program.
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