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Medical Staff Credentialing Specialist - Administrative

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

Three years' experience in healthcare credentialing or related fields., Working knowledge of healthcare regulations and credentialing standards., Experience with MDStaff and Primary Source Verification processes., Proficiency in Microsoft Office and Adobe Acrobat. .

Key responsabilities:

  • Serve as the point of contact for medical staff and hospital leadership regarding credentialing.
  • Maintain the privileging process for medical staff members.
  • Perform auditing functions in accordance with facility bylaws and accreditation standards.
  • Collaborate with various departments to facilitate continuous process improvement.

Navitas Partners, LLC logo
Navitas Partners, LLC SME http://www.navitassols.com
51 - 200 Employees
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Job description

Medical Staff Credentialing Coordinator
Location: REMOTE
Duration: 20 weeks
Shift: Monday through Friday, 8:00 am to 5:00 pm


Job Description:
Under the direction of the Program Manager for Credentialing Quality/Process Improvement, the Medical Staff Credentialing Coordinator provides support to the medical staff organization activities in a high volume, goal driven environment. By being the point of contact with department management, medical staff and hospital leadership to ensure compliance and optimal efficiency for appropriate membership and privileges throughout the tenure of a provider's tenure with Health, Advanced Health Professionals and CVO contracted facilities. First responder to maintaining the privileging process for members of the Medical Staff as well as performing auditing functions pursuant to facility Bylaws, Rules and Regulations; Credentialing Policy and Procedures; and other applicable accreditation/payor standards. The Medical Staff Coordinator is expected to work independently and collaboratively at all times with colleagues in the Medical Staff Office, Credentials Verification office, Clinical Service Coordinators, and other staff within the Medical Center while facilitating continuous process improvement efforts to achieve department and organization initiatives.

Qualifications

Required:
  • Three years' experience in healthcare credentialing (i.e. credentials verification organization, or Medical Staff Office)
  • Working knowledge of the health care and credentialing industry, regulatory agencies, and other national standards (TJC, NCQA, AAAHC)
  • Experience working with MDStaff
  • Experience with Primary Source Verification, principles pertaining to FPPE, OPPE and Privileging
  • Experience working with Microsoft Office (Excel, Word, Outlook) and Adobe Acrobat

Preferred Experience:
  • Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM)
  • Previous experience with auditing Initial and Reappointment files for Physicians, Dentist and APPs

 

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Collaboration
  • Communication

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