Medical Staff Credentialing Specialist

Job Title : Credentialing Specialist Location : Barnabas

Health Corp Department : Medical Staff Req : 0000145791 Status :

Full-Time Shift : Day Pay Range : $52,666.00 - $72,416.00 Annual Pay

Transparency : The above reflects the anticipated annual salary

range for this position if hired to work in New Jersey. The

compensation offered to the candidate selected for the position

will depend on several factors, including the candidate's

educational background, skills and professional experience. Job

Overview : The Credentialing Specialist is accountable for

performing duties related to the sending, receiving, processing,

and primary source verifying applications for initial and

reappointment and their related clinical privileges. Exemplifies a

culture of excellence, effective communication and collaboration,

and customer service with central Medical Staff Office (MSO)

leadership and staff, internal and external customers, providers,

and clinical and administrative leaders within RWJBarnabas Health.

Handles, with discretion, issues that are significant, complex,

multidisciplinary, sensitive, and confidential. Possesses and

develops a strong grasp of the medical staff operations and the

cultures of each affiliated institution and works to collaborates

with local Medical Staff Offices to facilitate timely completion of

credentialing processing. Works to develop an overall singular

culture of excellence and efficiency across the enterprise.

Qualifications : Required : Associates degree or combination of

education and experience deemed equivalent Successful completion of

all RWJBarnabas Health orientation programs Preferred : Two years'

prior experience in Medical Staff credentialing preferred.

Certified Professional in Medical Staff Management (CPMSM) or

Certified Provider Credentialing Specialist (CPCS) preferred

Knowledge of credentialing software and associated applications

strongly preferred (MDStaff) Excellent interpersonal and

communication skills Scheduling Requirements : Hybrid, with on-site

and remote capabilities available. Essential Functions : Oversees

and assists with application management and verification

activities, preliminary analysis of application and verification

information Analyze verification information, to include

identifying red flag and / or adverse information and notifying

central MSO leadership in accordance with policies Oversee the

monitoring of expiring information such as but not limited to DEA,

license, professional liability insurance, and specialty board

certification status; maintain and update credentials file(s)

Management of database entries for accuracy and completeness

Maintenance of electronic files as required Effective and timely

communication with local medical staff offices Timely and

accurately prepare credential files for audit and submission to the

hospitals Monitor staff productivity in accordance with standard

turn-around-times Maintain a working knowledge of relevant

regulatory standards (i.e., TJC, DNV and NCQA), state and federal

requirements, and applicable Medical Staff Bylaws Assist with the

development and implementation of credentialing and recredentialing

workflows to ensure efficient and effective alignment of processes

Assist in the development or revision of credentialing related

forms Participation in special project teams as assigned Training

of new staff as assigned - credentialing procedures, software, and

workflows Enforcement of internal procedures and controls and

problem resolution Takes a proactive role in monitoring and

assisting in improving team productivity Continually strives to

achieve individual, team and departmental goals All other duties as

assigned Other Duties : Please note this job description is not

designed to cover or contain a comprehensive listing of activities,

duties or responsibilities that are required of the employee for

this job. Duties, responsibilities and activities may change at any

time with or without notice. LI-AB1 At RWJBarnabas Health, our

market-competitive Total Rewards package provides comprehensive

benefits and resources to support our employees’ physical,

emotional, social, and financial health. Paid Time Off (PTO)

Medical and Prescription Drug Insurance Dental and Vision Insurance

Retirement Plans Short & Long Term Disability Life &

Accidental Death Insurance Tuition Reimbursement Health

Care / Dependent Care Flexible Spending Accounts Wellness Programs

Voluntary Benefits (e.g., Pet Insurance) Discounts Through our

Partners such as NJ Devils, NJ PAC, Verizon, and more! Choosing

RWJBarnabas Health! RWJBarnabas Health is the premier health care

destination providing patient-centered, high-quality academic

medicine in a compassionate and equitable manner, while delivering

a best-in-class work experience to every member of the team. We

honor and appreciate the privilege of creating and sustaining

healthier communities, one person and one community at a time. As

the leading academic health system in New Jersey, we advance

innovative strategies in high-quality patient care, education, and

research to address both the clinical and social determinants of

health. RWJBarnabas Health aims to truly make a unique impact in

local communities throughout New Jersey. From vastly improving the

health of local residents to creating educational and career

opportunities, this combination greatly benefits the state. We

understand the growing and evolving needs of residents in New

Jersey—whether that be enhancing the coordination for treating

complex health conditions or improving community health through

local programs and education. Equal Opportunity

Employer