What are the responsibilities and job description for the Senior Credentialing Quality Specialist position at Shore Medical Center?
Position Summary
The Senior Credentialing Quality Specialist manages the credentials of medical staff members and allied health professionals to ensure the highest quality patient care within the Hospital and compliance with TJC and other regulatory agencies. Responsible for coordinating and supporting the functions of the Medical Staff Services Department.
Core Duties and Responsibilities
• Accurately complies with department credentialing requirements for processing initial and reappointment applications of Medical Staff and Allied Health professionals
• Maintains current database for physicians and healthcare assistants by becoming efficient in the use of the database program
• Completes a variety of verification requests from multiple resources in a very timely manner for physicians and allied health professionals
• Responsible for physician On-Call schedule and disbursement of reimbursement funds
• Ability to interface succinctly and intelligently with physicians, board members and hospital personnel
• Responsible for accurately filing documents within timeline
• Ensures compliance with Joint Commission and state regulations
• Serves as resource person in the Medical Staff Department
• Knowledge of Medical Staff Bylaws and associated manuals
• Responsible for conducting Focused Professional Practice Evaluations (FPPE) for newly credentialed practitioners during their initial period of practice and to evaluate specific areas of concern for established practitioners.
Requirements
• 4 years of experience in Healthcare, Legal or Finance
• NAMSS Provider Credentialing Specialist Certification
• CPCS
• Verity Credentialing Stream platform
• Must be detail oriented with ability to accurately document information required
• Proficiency in Microsoft Office
• Ability to function in a demanding environment by navigating projects simultaneously while effectively supporting a very busy Medical Staff Services office
• Ability to follow up on pending documentation in a very timely fashion and document timeline of inquiries
• Ability to interact effectively and professionally with all levels of staff within the organization, physicians and vendors
• Excellent interpersonal skills
Preferred
• Experience with transcription and Dictaphone preferred
• CPMSM preferred
Salary Range - $70,000 - $80,000 annually (Based on experience)
Additional information
• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required.
• This job description should not be construed as an exhaustive statement of duties, responsibilities or requirements, but a general description of the job. Nothing contained herein restricts the company’s rights to assign or reassign duties and responsibilities to this job at any time.
• Shore Medical Center is an Equal Opportunity Employer. All applicants will receive consideration for employment without regard to sex, affectional or sexual orientation, gender, gender identity, orientation or expression; marital status, domestic partnership status, civil union status, pregnancy, race, creed, ancestry, color, ethnicity, national origin, age, disability, religion, genetic information, or veteran status or any other basis prohibited by law
Salary : $70,000 - $80,000