Start Date: ASAP
Length of Assignment- End Date 3/31 (potential to extend)
Shift- Start time is slightly flexible. M-F
Days Business Casual Attire
Looking for candidates with Provider Credentialing experience. Strong data entry & Amysis experience! Must be able to use complicated systems. Otherwise insurance background, front office or provider office experience. Onboard the providers- double check certifications, education, etc. Office skill set, great communication skills, and data review.
The Credentialing Coordinator is responsible for implementation and appropriate documentation of all regulatory agency (i.e. ODH, CMS, NCQA, Joint Commission, etc.) and other requirements related to credentialing hospitals medical staff and joint ventures. Administrative functions include primary source verification of credentialing applications, to include critical analysis of a provider's clinical competence through assessment of case logs and specific training. Credentialing liaison with joint ventures as well as other credentialing entities in the health system.
Responsibilities -Prepare for and attend regulatory surveys (i.e., Joint Commission, ODH, CMS, etc.) as needed. Maintain a working knowledge of the Medical Staff's governing documents including but not limited to Bylaws, Credentialing Policy, Allied Health Professional (AHP) Policy, FPPE policy, etc. Responsible for all office activities and functions related to credentialing and privileging.
Education: Associate degree in administration, health or behavioral science field preferred.
Licensure / Certification: Certified Professional Credentialing Services (CPCS) and/or Certified Professional Medical Staff Services Management (CPMSM) certification preferred; (National Association of Medical Staff Services) Experience: Minimum of two years' experience performing administrative duties; Experience working with physicians preferred. Credentialing experience preferred. - Knowledge of medical terminology and external regulatory requirements (ODH, Joint Commission, NCQA, etc.), preferred.