Boston Children's Hospital

Credentialing Specialist I

Boston Children's Hospital  •  Boston, MA (Onsite)  •  1 day ago
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Job Description

Status

Full-Time

Standard Hours per Week

40

Job Posting Category

Administration

Job Posting Description


Processes applications for appointment, re-appointment, and mid-cycle change to the Medical Staff, House Staff, and Associate Clinical Staff and requests for clinical privileges, as applicable, in a customer-focused, efficient, comprehensive, timely, and accurate manner.
Key Responsibilities:

  • Reviewing and evaluating applications, including evidence of education, training, experience, and competency, to determine eligibility for membership and clinical privileges.
  • Obtaining primary source verifications for all information submitted by the applicant or re-applicant.
  • Recognizing, investigating, and validating discrepancies and adverse information obtained from the application, primary source verifications, or other sources; obtaining clarification and escalating concerns.
  • Notifying applicants and re-applicants, and their coordinators, of any issues and maintaining contact with them throughout the process.
  • Compiling, evaluating, and presenting practitioner-specific data collected for review by one or more decision-making bodies in a comprehensive and timely manner.
  • Documenting, according to policy and procedure, applicants and re-applicants with potential issues in a holistic and comprehensive manner.
  • Soliciting and obtaining information from the Department or Division Chief regarding applicants and re-applicants.
  • Escalating concerns, according to policy and procedure, to the chain of command.
  • Performing related credentialing functions, including ensuring all documents are maintained according to policy and procedure.
  • Maintaining confidential credentialing files for all applicants and members of the Medical Staff, House Staff, and Associate Clinical Staff.
  • Enrolling, maintaining enrollment, and terminating members of the Medical Staff, House Staff, and Associate Clinical Staff with the appropriate institutional malpractice carrier.
  • Providing the highest level of service to all customers (internal and external) as demonstrated through the core values of the enterprise.
  • Implementing office goals and objectives using continuous process improvement methods.
  • Maintaining relationships and serving as a liaison between Medical Staff Services and clinical departments and divisions, and their Chief(s), enterprise-wide, to address questions and concerns.
  • Teaching and providing expertise to managers, medical staff, and staff on credentialing processes, requirements, and regulations.
  • Applying relevant Medical Staff Bylaws, Rules and Regulations, and any other relevant regulatory standards to the day-to-day functioning.
  • Creating a customer-friendly and healthy work environment in support of employee engagement and well-being.
  • Assisting in facilitating an efficient, productive, accountable, and customer and quality-oriented work environment using high-reliability principles.
  • Providing and ensuring the highest level of service to all customers (internal and external) as demonstrated through the core values of the enterprise.

Education:

  • Associate’s degree in the field of Medical Staff Services Science, Health Care Administration or a closely related field, or one year of basic technical training

Experience:

  • One year of related experience in a hospital or healthcare environment
  • One year of experience in credentialing, provider enrollment or closely related field.

Knowledge, Skills, and Abilities:

  • Attention to detail, managing multiple tasks simultaneously, identifying and escalating concerns, and meticulous organization.
  • The ability to communicate effectively both orally and in writing, with the ability to exchange information on factual matters, as well as the ability to provide tact and empathy in difficult interpersonal situations.
  • Candidates from New England region preferred.

Office/Site Location

Boston

Regular, Temporary, Per Diem

Regular

Remote Eligibility

Full-Time Remote

Pay Range

$22.35-$35.76 Hourly

Boston Children's Hospital

About Boston Children's Hospital

Boston Children's Hospital is a 404-bed comprehensive center for pediatric health care. As one of the largest pediatric medical centers in the United States, Boston Children's offers a complete range of health care services for children from birth through 21 years of age. (Our services can begin interventions at 15 weeks gestation and in some situations we also treat adults.)

We have approximately 25,000 inpatient admissions each year and our 200+ specialized clinical programs schedule 557,000 visits annually. Last year, the hospital performed more than 26,500 surgical procedures and 214,000 radiological examinations.

Our team of physicians and nurses has been recognized by a number of independent organizations for overall excellence, and we're proud to share some notable examples with you here.

Industry
Healthcare & Social Services
Company Size
10,000+ employees
Headquarters
Boston, MA
Year Founded
1869
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