Credentialing Specialist (Days) at Hired by Matrix
Norwood, OH
About the Job
Pay Rate: - $/Hour
At-a-Glance:Are you ready to build your career by joining a healthcare provider? If so, our client is hiring a Credentialing Specialist (Day)!
What You'll Do:
- Responsible for coordination and preparation of medical staff functions; prepares for committee meetings, taking minutes, processes and distributes appropriate correspondence and assists with the development, planning and implementation of the credentialing and privileging process in addition to the analysis of each file upon completion.
- Assists in the compliance with the accrediting and regulatory agencies (i.e., Joint Commission and NCQA) in regards to credentialing and privileges while developing and maintaining a working knowledge of the statues and laws.
- Ensures that all expirables are reviewed, obtained and managed on a monthly basis according to the rules and policies.
- Maintains the confidentiality of all business/work and medical staff information.
- Assists in the managing the flow of information between medical staff services, Credentials Committee and MEC Committee, medical staff leadership and Chief Medical Officer.
- Manages the FPPE process and the integration of OPPE during reappointment.
- Coordinate the credentialing activities of the Medical Staff and Allied Health Staff, in accordance with the Medical Staff Bylaws, Credentialing Policies and Procedures as well as the federal and state law, regulatory and accrediting agencies.
- Provide administrative support to Credentials, General Staff and other Medical Staff committees and departments.
- Process requests for temporary /additional privileges and monitor all follow-up, in accordance with policies and procedures.
- Process requests for one-time privileges, visiting physicians and/or student observers.
- Coordinate verification of professional liability coverage, medical licensure, board certification, BLS, ACLS, ATLS, and/or NRP certifications and DEA certification, as required.
- Obtain updated PPD and annual AHP evaluations.
- Credentialing/Database management.
- Coordinate preparation and distribution of new committee roster (every 2 years) and yearly master calendar.
- Assist with /in:
- The coordination of annual dues process.
- Customers in the absence of the Credentialing Assistant and/or Administrative Assistant.
- Joint Commission accreditation preparation, as necessary.
- Coordination of yearly on-call schedule preparation and coordination of Department Director election (every two years).
- Verifications of medical staff membership and clinical privileges of providers from other healthcare facilities.
- Coordination of medical staff events and functions and other duties assigned.
- Must have 5+ years of experience from a hospital/health system credentialing physicians and/or advanced practice staff.
- Minimum of 3 years in a healthcare setting performing credentialing, privileging, and medical staff services functions.
- Required: 5 years experience in Physician Credentialing and privileging.
- Strong excel experience.
- Preferred: CPCS certified
- Must be strong in Excel and have great attention to detail.
- Understanding of what needs to be verified, Joint Commission accreditation rules, privileging, license verification, board certifications, anything the provider is licensed to do.
- Please avoid submitting any candidates who only have credentialed nurses, allied staff or non-physician/advanced practice staff.
- Preferred: Cactus/Symplr experience is strongly preferred
- Credentialing certifications.
- Must have/be:
- A good verbal, written and telephone communication skills.
- Able to multi-task, attention to detail and strong interpersonal skills are required.
- Able to work independently and exercise independent judgment regarding the credentialing and privileging of providers as well as other medical staff services’ decisions and have the ability to define problems, prioritize issues and develop and implement solutions.
- A self-starter who functions well in a team providing leadership example by demonstrating exceptional standards in issues such as team work and interpersonal relationship development, reliability and attendance, professional appearance, and commitment to and participating in quality improvement programs.
- Strong computer experience with database management, Microsoft Office and Windows applications.
- Experience with Joint Commission and other healthcare regulatory bodies.
- Required Education: High School Diploma or equivalent.
- Preferred Education: Associates Degree or equivalent combination of education and related experience.
- Preferred Certifications & Licensure: CPCS or CPMSM
- Required Skills:
- Excellent Communication Skills
- Healthcare Industry
- Computer
- Excel
- Shift: M-F 8AM-4:40PM Hours: 32-40 hours per week
- Attire: Business Casual.
Get in Touch:
We want to hear from you! If you think you'd be a good match, submit your resume and reach out to Lalit at (862) 799-2505 to learn more.
Who We Are:
Since 1986, Hired by Matrix, Inc., has improved our candidates' lives with exciting job opportunities that provide outstanding career advancement. Hired by Matrix offers our contract professionals competitive salaries, benefits after 60 days, and a 401k option with a company match after one year. Hired by Matrix is an Equal Opportunity Employer and proud to be certified as both a Woman-Owned Business Enterprise and a Woman-Owned Small Business.
Connect with us on LinkedIn today and learn more about how HbM can change your career: https://www.linkedin.com/company/hired-by-matrix-inc/
Check out our Career Center: https://www.hiredbymatrix.com/find-work/open-positions
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