Medical Policy Specialist jobs in Atlantic City, NJ

Position Summary
The Medical Staff Specialist manages the credentials of medical staff members and allied health professionals to ensure the highest quality patient care within the Hospital and compliance with TJC and other regulatory agencies. Coordinates and supports the functioning of the Medical Staff Services Department. 

Core Duties and Responsibilities
•   Knowledge of Medical Staff Bylaws and associated manuals
•   Accurately complies with department credentialing requirements for processing appointments and reappointment applications of Medical Staff and Allied Health professionals
•   Maintains current database for physicians and healthcare assistants by becoming efficient in the use of the database program
•   Completes verification requests for other institutions for physicians and allied health professionals
•   Responsible for the mailing and tracking of applications
•   Ability to interface intelligently with physicians, board members and hospital personnel
•   Responsible for accurately filing documents in a timely manner
•   Ensures compliance with JCAHO and state regulations.
•   Serves as resource person in the Medical Affairs Department

Requirements
•   High School Graduate, Associates Degree preferred
•   2 years of experience in Credentialing  
•   Must be detail oriented 
•   Knowledge of ECHO software, The Joint Commission and CMS standards preferred
•   Experience with transcription and Dictaphone preferred
•   Proficiency in Microsoft Office
•   Ability to follow up on pending documentation in a very timely fashion and document timeline of inquiries
•   Ability to interact effectively and professionally with all levels of staff within the organization, physicians and vendors 
•   Excellent interpersonal skills

Additional information
•    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required.
•    This job description should not be construed as an exhaustive statement of duties, responsibilities or requirements, but a general description of the job. Nothing contained herein restricts the company’s rights to assign or reassign duties and responsibilities to this job at any time.
•    Shore Medical Center is an Equal Opportunity Employer. All applicants will receive consideration for employment without regard to sex, affectional or sexual orientation, gender, gender identity, orientation or expression; marital status, domestic partnership status, civil union status, pregnancy, race, creed, ancestry, color, ethnicity, national origin, age, disability, religion, genetic information, or veteran status or any other basis prohibited by law.