Medical Staff Credentialing Specialist, Sr. processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Being a Medical Staff Credentialing Specialist, Sr. loads and maintains provider information in an online credentialing database system. Tracks license and certification expirations for medical staff to ensure timely renewals. Additionally, Medical Staff Credentialing Specialist, Sr. handles and resolves inquiries regarding credentialing information, process, or status. May provide guidance or expertise to less experienced specialists. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor. The Medical Staff Credentialing Specialist, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Medical Staff Credentialing Specialist, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
Organization
Wilkes-Barre General Hospital
Location WILKES BARRE, PA (Wilkes-Barre General Hospital)
Department Medical Staff
Field Quality & Compliance
Full Time
Commonwealth Health - A commitment to caring can be found in the hearts and minds of the physicians, nurses and many other employees who support patient care at Commonwealth Health Wilkes-Barre General Hospital and clinics. Our organization is built on great people. In turn, we provide these skilled and dedicated caregivers with career opportunities, professional development and a work environment that creates superior job satisfaction. Opportunities stretch across our hospital, physician network and emergency medical services in Northeastern PA . Join a team that has been committed to caring for the local community for 150 years.
The Physician Credentialing Specialist is responsible for all information pertaining to medical staff credentialing and privileging for the Wilkes Barre General Hospital. This person will coordinate physician and allied professionals credentialing information required for: Medical Staff governance, State and Federal regulations, Joint Commission. The Physician Credentialing Specialist will be responsible for handling all medical staff credentialing related inquiries. The Physician Credentialing Specialist will assure all credentialing records and the credentialing process meets or exceeds Joint Commission requirements for certification
Education:
Associate’s Degree or Certificate of Specialization preferred. Certification or eligibility for certification as a Certified Medical Staff Coordinator through National Association of Medical Staff Services. Knowledge of NCQA credentialing requirements. Knowledge of Joint Commission credentialing requirements. Medical Staff Office experience and credentialing experience in a hospital setting preferred.
Required Skills and Abilities:
One year experience in Physician Credentialing desired, may consider applicant with comparable experience, including typing, shorthand, medical terminology, clerical accuracy, deadline oriented, organizational skills, etc. Typing, shorthand, medical terminology, editing and proofreading, communication skills, scheduling, preference for business contacts, clerical perception/accuracy, ability to meet deadlines, manual and finger dexterity. Must possess good organizational skills and enjoy detailed work. Exceptional ability to deal with highly confidential information handled during course of work day.
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