Credentialing Specialist SCH

Salary : 24.52-36.78 USD

Facility : Sisters of Charity Hospital

Shift : Shift 1

Status : Full Time FTE : 1.000000

Bargaining Unit : ACE Associates

Exempt from Overtime : Exempt : No

Work Schedule : Days

Hours : 7a-3p or 8a-4p

Summary :

The Credentialing Specialist is responsible for assisting with the process of electronic credentialing and privileging of Medical Staff members in accordance with the Medical Staff Bylaws, Joint Commission standards and the Center for Medicare / Medicaid Services (CMS) and New York State regulatory requirements. . This requires electronic collection, processing and organizing significant amounts of verification data. The database maintained includes education, training, licensure and experience content. The Credentialing Specialist shall assist the Supervisor Medical Office Staff when required. May perform duties for members of the Medical Staff and assist with Medical Staff committees as required.

Responsibilities : EDUCATION

A.A.S. Degree or equivalent certificate program required

In lieu of an Associate's degree, a minimum of three (3) years of direct credentialing experience required

Certified Provider Credentialing Specialist (CPCS) Certification desired

EXPERIENCE

Three (3) years of experience in a health care related field

CVO / MSO or office credentialing experience preferred

Web based credentialing and privileging software experience preferred

Experience with Physician credentialing strongly preferred

KNOWLEDGE, SKILL AND ABILITY

Strong Microsoft Office skills, knowledge of Word, Excel, Outlook, Adobe Acrobat knowledge of automated Medical Staff or physician office systems preferred

Strong critical thinking skills

Must have a high degree of integrity that is aligned with the values of the organization

Ability to multitask

Strong communication skills, both oral and written

Ability to establish priorities and ability to work well under pressure

Ability to provide work of high quality and accuracy

Resourceful with strong research skills

Strong interpersonal skills

Good judgment, common sense and diplomacy

Solid organizational skills

Ability to work independently

Ability to analyze data and prepare meaningful reports

Ability to identify, react, and follow through in an appropriate manner in credentialing matters

Must remain confidential on all Medical Staff matters

Must be knowledgeable of JC / NYS 405 Standards as they apply to Medical Staff credentialing

WORKING CONDITIONS

Normal heat, light space, and safe working environment; typical of most office jobs

Individual may be required to travel to other CH facilities for staff meetings / staff training

REQNUMBER : 40901