Medical Staff Credentialing Specialist, Sr. jobs in Raleigh, NC

ECU Health

About ECU Health Medical Center

ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides acute and intermediate care, rehabilitation and outpatient health services to a 29-county region that is home to more than 1.4 million people.

Position Summary

The Medical Staff Specialist will support the operations of ECU Health.

Responsibilities

1. Provide documentation to support the operations of the ECU Health.

• Primary source verification services for application elements not provided by the ECU Health CVO.
• Maintain the credentials database.
• Maintain paper files for initial appointments and reappointment for ECU Health credentialed providers.
• Provide and maintain documentation for medical staff promotions, special procedure requests, maintenance of the permanent credentials file for all practitioners, verification of maintenance of current license, DEA, and insurance for all practitioners, verification of ECU Health work history, collection of UPIN#s and communication of same.

2. Provide support for ECU Health Medical Staff Office.

• Prepare meeting agendas for Credentials and Medical Executive Committees as well as the Board of Trustees.
• Updating Cactus or Echo with validated contact and privileging information.
• Troubleshooting for physicians and providing general support.

3. Provide support for surveys (managed care, regulatory & Joint Commission).

• Prepare for and provide support for surveys conducted as part of the delegated credentialing contract, as well as hospital accreditation surveys by the Joint Commission.
• Maintain credentials files.

4. Other duties as assigned

• Physician Orientation
• Maintenance of physician mailboxes
• Maintenance of doctor provider finder
• Provide documentation to support the operations of the Medical Staff Office
• Primary source verification services for application elements not provided by the ECU Health CVO.
• Maintain the credentials database.
• Maintain paper files for initial appointments and reappointment for ECU Health credentialed providers.
• Provide and maintain documentation for medical staff promotions, special procedure requests, maintenance of the permanent credentials file for all practitioners, verification of maintenance of current license, DEA, and insurance for all practitioners, verification of ECU Health work history, collection of UPIN#s and communication of same.
• Prepare meeting agendas for Credentials and Medical Executive Committees as well as the Board of Trustees.
• Updating Cactus or Echo with validated contact and privileging information.
• Troubleshooting for physicians and providing general support.
• Prepare for and provide support for surveys conducted as part of the delegated credentialing contract, as well, as accreditation surveys by the Joint Commission.
• Maintain credentials files for survey.

Minimum Requirements

• High School or equivalent- or higher
• Related Work Experience:
• 1 year to 3 years
• Hospital, medical office or managed care credentialing, Human Resource management in an office or hospital setting

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

Contact Information

For additional information, please contact:

Demonica Taylor-Wright

Talent Acquisition Lead

ECU Health Talent Acquisition

Email: demonica.taylor.wright@ecuhealth.org