Credentialing Specialist

Job Type

Temporary

Description

SUMMARY The Credentialing Specialist's role is to administratively support management and office staff members of LucidHealth with credentialing which contains a broad scope of duties and responsibilities. The individual will be required to exercise judgment, self-starting and organizational skills, advanced diplomacy, and superior identification and resolution skills.

PRIMARY RESPONSIBILITIES

1. Serve as support staff to the Dir. Of Quality & Organizational Effectiveness.

• Meets regularly to ensure open communication and proper follow through on pending issues.
• Provide support through performing research, providing literature and data regarding Credentialing / QA issues.
• Provide input, suggestions, and possible solutions regarding related credentialing issues.

2. Assist in the credentialing process for initial and reappointment of physicians.

3. Assist in the coordination of the Credentialing policies and procedures to include TJC Standards and

Federal and State laws.

4. Remain up to date and knowledgeable of TJC Standards, as they relate to Credentialing.

5. Assure that appropriate data is maintained in the computer system.

6. Perform other work-related tasks as requested.

ADDITIONAL RESPONSIBILITIES

1. Each employee champions the spirit of LucidHealth's mission by displaying caring, courteous

behavior in dealing with co-workers, physicians and outside contacts.

2. Demonstrates professional conduct, promotes a positive image to the customers served in both face-to-face, and telephone interactions.

3. Promotes teamwork through mutual respect for fellow staff members, developing positive interdepartmental relationships and lending assistance to other office support staff.

4. Maintains good attendance record according to LucidHealth policies.

5. Demonstrates knowledge of, and compliance with LucidHealth policies.

6. Knowledgeable of and participation in safety programs, sexual harassment programs, etc. Continued compliance must be demonstrated annually.

7. Attends designated meetings as scheduled.

Requirements

KNOWLEDGE AND SKILL REQUIREMENTS

1. Bachelor's degree or related experience.

2. Ability to take initiative to continually improve and enhance the administrative support function.

3. Ability to identify problems and recommend solutions.

4. Ability to prepare and maintain record and reports.

5. Ability to establish and maintain effective working relationships with physicians, hospital staff and others.

6. Willingness to perform all duties as assigned.