🌟 We're Hiring: Credentialing Systems Specialist II! 🌟
We are seeking a detail-oriented and experienced Credentialing Systems Specialist II to manage and optimize our credentialing systems and processes. The ideal candidate will have expertise in healthcare credentialing, database management, and regulatory compliance to ensure accurate provider data and seamless operations.
Location: Danville, KY
Position: Credentialing Systems Specialist II
Pay Rate: $36.66/hr
Duration: 6-9 months - to cover for LOA
Expected Shift: 40 hr/week
Equipment: Will be provided by the client, as the position is on-site.
What You'll Do:
1. Ensures credentialing processes are completed on time and in compliance with the guidelines
of regulatory agencies, including Kentucky Board of Medical Licensure, Nursing Board and
other State licensure, The Joint Commission (TJC/JCAHO) and, National Committee for Quality
Assurance (NCQA).
2. Closely monitors information collection and follows up to obtain missing documents.
3. Ensures confidential credentials files are orderly and current with all required and received
information and will follow up with LIPs to obtain renewal information, including but not
limited to licensure, malpractice insurance, DEA, flu, TB, registration/certification and other
time limited documents.
4. Performs general office and secretarial work within the normal operation of the Department.
This includes checking mail daily and distributing, checking and stamping in all applications.
Filing and boxing up credentialing files to take to storage. Ordering supplies and binders.
5. Maintains database of physicians and allied health which includes demographic information,
privileges granted, department and committee appointments/attendance, continuing medical
education activities, credentialing and other related information.
6. Maintains resignation logs and completes process of physician resignations within the medical
staff office.
7. Processes requests for applications, sends Pre-Application form and maintains record of
applications sent.
8. Assists in the processing of new applications and reappointment applications per standing
Medical Staff Services protocol and Medical Staff and Organizational policies and procedures
including entering new providers into the Meditech Provider Dictionary.
9. Maintains personal adherence to professional confidentiality standards established within the
Department and in accordance with legal, ethical and Organizational policies.
10. Assures data security and confidentiality of all files by securing appropriate file areas,
cabinets, drawers and computer terminals.
11. Coordinates all physician orientations with assistance from medical staff Associates.
12. Maintains record of physician dues, follows up when dues are delinquent and/or ready for
processing. Emails all physicians on yearly dues and process dues into medical staff physician
dues account.
13. Able to assist with reports as requested through the designated medical staff credentialing
software.
14. Coordinates yearly credentialing audits with contracted health insurance entities to come and
review credentialing files, policies, procedures and minutes for the Cooperative Care Network.
15. Assists with supporting and processing the Organized Medical Staff’s business matters,
including agenda and meeting package preparation, meeting attendance, and the taking and
transcribing of meeting minutes. Will Attends any and all aforesaid meetings as needed and/or in
the absence of the Director or specialist and takes minutes, transcribes into acceptable
organization format and distributes within 3 working days.
16. Schedule room, audio visuals, room layouts, and catering request for all aforementioned
meetings
17. Completes all activities involved in preparation of reports, minutes, polices, bylaws, rules
and regulations, procedures and correspondence to facilitate department operations.
18. Answers telephone calls and directs to the correct location/department. Answers phones and
takes complete and accurate messages and logs for anyone in the office who is away from their
desk. Checks routinely the automated phone line for outside business calls.
19. Orders office supplies as need to keep an inventory for use.
20. Responsible for coordinating mailboxes in the medical staff physician lounge.
21. Makes conference/seminar registrations, airlines, hotels, and rental car reservations when
requested. 2
22. Coordinates and schedules appointments for the Director as needed for medical
staff/physician business matters.
23. Demonstrates a commitment to professional accountability and growth to maintain and
expand knowledge and skills.
24. Resource for Medical Staff projects.
25. Demonstrates a commitment to professional accountability and growth to maintain and
expand knowledge and skills.
26. Contributes to the achievement of the mission, vision, and values of the Organization.
27. Contributes to the effective operations of the Organization by demonstrating dependability in
job performance.
28. Demonstrates a commitment to incorporating the core concepts of patient family centered
care into practice (dignity, respect, information sharing, and participation).
29. Demonstrates a commitment to the development and implementation of shared governance
across the Organization.
30. Performs other related duties assigned in a willing and cooperative manner.
WORKING CONDITIONS, HAZARDS, AND PHYSICAL EFFORT:
Works in office environment. May require occasional visits to clinical areas. May require
extended hours. Minimal risk exposure to disease, infection, physical strain, exposure to blood,
body fluids and tissue. May result in periods of increased levels of stress. High degree of a
stationary position and time spent at computer terminal. Must be able to move or position 25 lbs.
independently.
Ready to make an impact? 🚀 Apply now and let's grow together!
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