Job Description

Maintains medical staff credentials and privileges in accordance with regulatory standards. Essential Functions:

• Maintains accurate records of medical staff members' credentials and licensure information.
• Assists with the preparation and submission of medical staff initial applications and reappointments.
• Identifies adverse information during the process and determines the need for further investigation.
• Monitors compliance in accordance to medical staff bylaws, policies, rules, and regulations.
• Responds to inquiries from medical staff members and hospital staff regarding medical staff policies and procedures.
• Reviews primary source verification of all necessary documents to complete credential files.
• Coordinates quality improvement activities files and reports.

Education Requirement:

High School Diploma or equivalent, required,

Licensure Requirement:

(not specified)

Certifications:

Certified Provider Credentialing Specialist (CPCS), preferred.

Skills:

• Ability to perform in a fast-paced work environment and meet project deadlines.
• Strong customer service and data entry skills.
• Accuracy and attention to detail with the ability to manage multiple priorities.

Experience:

• Experience communicating with physicians and other healthcare professionals, required.
• Experience with verifying information and analyzing documentation, required.

Physical Requirements:

OCCASIONALLY: Bend/twist, Decision Making, Problem solving

FREQUENTLY: Interpreting Data

CONTINUOUSLY: Computer skills, Hand use: grasping, gripping, turning, Reaching above shoulder, Repetitive hand/arm use, Seeing – Far/near, Sitting

Additional Physical Requirements performed but not listed above:

• Talking on phone/in person: Frequently

"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"