Credentialing Specialist

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Coordinates and monitors implementation and maintenance of accurate and up to date computerized database of credentials files for members of the Organized Medical Staff by ensuring that the information in MD Staff which is the credentialing data base is accurate, timely and complete. Facilitates the day to day exchange of documents and communications with the CVO concerning the collection and verification of information required for medical staff applications. Audits the files received from the credentialing verification organization for accuracy and completeness. Determine if there are any serious issues which require further investigation. Proficient in the ability to create, edit and generate statistical reports from the credentialing database as well as in Excel and other computer programs. Critical thinking, ability to follow through and function independently, has initiative, and has attention to detail, and has excellent organizational skills. Maintains understanding of Joint Commission, DEA, DPH, Board of Registration in Medicine regulatory agencies as they relate to the credentialing of providers and hospital. Understands and maintains the requirements in the Organized Medical Staff Bylaws and Rules and Regulations. Contribute to continuous process improvement activities of the department. Follow through on actions taken by the Credentials Committee. Facilitates and performs the day-to-day functions within the Medical Staff Office which include but are not limited to: Credentialing coordination; Maintaining checking accounts to provide monthly and quarterly reports; Working with the chiefs of service and other departments within the hospital; Help in recording continuing medical education attendance and maintaining logs of reporting requirements to the Massachusetts Medical Society & ACCME Coordinates the set up of the monthly calendars and works with all department and committee chairs to create a yearly schedule of meetings Coordinates the annual fluoroscopy certification in conjunction with radiology leadership; Creates lists and sends out and collects annual staff dues; Provides administrative support to medical staff leadership and medical staff office leadership; Schedules meetings; Takes care of mail, ordering office supplies, ordering coffee for medical staff lounges and other duties as assigned. It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required. Education/Experience Required: Bachelor’s Degree. Equivalent years in a dynamic health care setting or related field can be substituted for the required experience. 5-7 years of experience required in a healthcare setting in an administrative capacity. Previous credentialing experience in a hospital medical staff office or managed care organization strongly preferred; Excellent written and verbal communication skills; PC and software proficiency (word processing, typing at 70wpm, spreadsheets and database applications); Knowledge of Meditech a plus; Demonstrated experience with Word, Excel, Outlook and Quicken; Must have knowledge of physician specialties, medical staff procedures and medical terminology Registration/Certification: National Association Medical Staff Services CPCS or CPMSM preferred or obtained within 2 years of employment in this position Physical/Environmental Requirements This job requires frequent bending, carrying, pulling, pushing, reaching, standing, stooping, walking and lifting over 10 lbs. There will be occasional need for climbing stairs, lifting in excess of 50 – 100 lbs and sitting. Constant use of hearing, sight and speech. Frequent use of smell and touch. Frequent keyboard and telephone use. Constant concentration and problem solving. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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