Medical Staff Credentialing Specialist jobs in Lebanon, PA

Penn State Health Corporation

Location : US:PA:Hershey
Work Type : Full Time
FTE : 1.00
Shift : Day
Hours : 7:00a - 3:30p

SUMMARY OF POSITION :

Responsible for day to day credentialing activities of the medical and allied health staff, and support the Manager, Medical Staff Services with all activities related to the appointment and reappointment processes as well as manage the day to day maintenance of credentialing records (electronic and paper).

ESSENTIAL FUNCTIONS:

• Receives, evaluates and processes initial and reappointment applications including performing all applicable credentialing and recredentialing verification functions.
• Reviews the medical staff application for completeness and accuracy to initiate the verification process; verifies receipt of requested documentation to support the credentialing, provider enrollment and human resource processes and review; identifies adverse information, if applicable, analyzes licensure status and enters file into specialty database.
• Provides a summary of the file to the Manager, Medical Staff Services for final evaluation and approval of credentialing.
• Maintains accurate credentials for each provider (e.g. license status and expirations, board certifications, reappointments and malpractice coverage).
• Generates and analyzes reports from specialty database to monitor credentials of each provider.
• Communicates with providers and assigned departments to gather current credentials, as needed.
• Coordinates and monitors medical and allied health staff licensure applications/status changes. As it relates to allied health, changes in scope of practice or supervision require submission of licensing applications to State Board of Medicine, Nursing, etc. to keep licensure status current.
• Maintains credentialing database/Find A Physician, MSO website, reports, analysis of data.
• Communicates with internal and external colleagues and resources.
• Participates in scheduled audits by outside sources such as regulatory agencies or third party payors.
  

NON-ESSENTIAL FUNCTIONS:

• Coordinates meeting schedules, rooms, refreshments, agendas, as needed to support credentialing functions such as Credentials Committee, Medical Staff Executive Committee & Joint Practice or others.
• Answers phone/mail/email; assists visitors (e.g. physicians, allied health, leadership).
  

MINIMUM QUALIFICATIONS:

Associates Degree plus 1 year job related experience required OR 3 years job related experience required

KNOWLEDGE, SKILLS, & ABILITIES:

• Intermediate computer skills required (word processing, data management, Excel, Powerpoint, Access, email)
• Oral and written communications skills required
• Organizational and project management skills required
• Ability to analyze data and resolve conflicts required
  

PREFERRED QUALIFICATIONS:

• Excellent computer skills preferred (Word, Excel, Access, website management)
• Certified Provider Credentialing Specialist (CPCS) and/or Certified Professional Medical Services Management (CPMSM) preferred
• Credentialing experience preferred
  

This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.

Penn State Health is fundamentally committed to the diversity of our faculty and staff. We believe diversity is unapologetically expressing itself through every person's perspectives and lived experiences. We are an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information. If you are unable to use our online application process due to an impairment or disability, please call 717-531-8440 between the hours of 7:30 AM and 4:30 PM, Eastern Standard Time, Monday through Friday, email hrsolutions@pennstatehealth.psu.edu or download our Accommodation Instructions for Job Applicants PDF for more detailed steps for assistance.