Facility: Kenmore Mercy Hospital
Shift: Shift 1
Status: Full Time FTE: 1.000000
Bargaining Unit: ACE Associates
Exempt from Overtime: Exempt: No
Work Schedule: Days
Hours:
Monday - Friday, 7am -3pm.
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), the Department of Health (DOH) 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 Manager of the Medical Staff Office and/or the Director of Medical Staff Services, 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 preferred
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 share office space with another associate
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