Credentialing specialist • memphis tn
Assists with the operational administration of the credentialing and recredentialing/reappointment processes.Executes daily tasks based on implemented policies and procedures to assure compliance w... Show more
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Assists with the operational administration of the credentialing and recredentialing/reappointment processes. Executes daily tasks based on implemented policies and procedures to assure compliance with applicable credentialing standards including The Joint Commission, NCQA and/or accrediting and regulatory bodies. Coordinates with appropriate leaders and facility/office contacts during initial appointment and recredential/reappointment process to meet set deadlines/committee approvals. Assists with file/report preparation and planning for Committee/Board review as well as other regulatory surveys/audits. Performs other duties as assigned.
Administers credentialing, recredentialing/reappointment and privileging process for designated providers assuring compliance with applicable accrediting and regulatory standards. Coordinates verification of documentation and associated information assuring accuracy and timely follow-up. Administers and maintains comprehensive practitioner databases and files with particular emphasis on integrity and completeness of documentation. Provides status reports, ad hoc queries, and other documents and summaries as requested. Provides administrative support to appropriate leaders and applicable committees to assist them in carrying out their responsibilities and complying with the requirements outlined in the Bylaws, Policy/Procedures and Hospital Rules and Regulations. Executes daily tasks and special assignments to assure compliance with production and quality standards as well as fostering team approach. Completes assigned goals.
Minimum Required Experience: Three years office experience in a health care or business environment providing administrative or support services. Previous credentialing experience.
Minimum Required Education: Completion of Associate's Degree in office administration, business, computer science or related field or equivalent experience.
Minimum Required Skills: Knowledge and proficiency in the use of personal computers including Microsoft Office solutions e.g. Word and Excel.
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