Credentialing Specialist

Townsen Memorial is hiring a Full-Time Credentialing Specialist at our Humble Location!

The Credentialing Specialist is responsible for leading, coordinating, monitoring, and maintaining the credentialing and re-credentialing process.

ESSENTIAL FUNCTIONS:

• Compiles and maintains current and accurate data for all providers
• Completes provider credentialing and re-credentialing applications monitors applications and follows-up as needed
• Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
• Maintains corporate provider contract files
• Maintains knowledge of current credentialing processes for al providers
• Sets up and maintains provider information in online credentialing databases and systems
• Tracks licenses and certification expirations for all providers to ensure timely renewals
• Processes applications for appointment and reappointment of privileges to the facility
• Maintains facility appointment files, and information in credentialing database
• Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up
• Ensures compliance with Medical Staff Bylaws, rules and regulations, policy and procedures
• Assists with credentialing audits
• Performs other related duties as assigned
  
  
  

KNOWLEDGE, SKILLS, AND ABILITIES:

• Knowledge and understanding of credentialing process
• Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources
• Ability to organize and prioritize work and manage multiple priorities
• Excellent attention to detail, verbal and written communication skills including letters, memos, and emails
• Ability to maintain positive, constructive, collaborative, cooperative professional friendly and respectful working relationship with coworkers and supervisor
• Ability to research and analyze data
• Ability to work independently with minimal supervision
• Ability to establish and maintain effective working relationships with providers, management, staff and contacts outside the organization
  
  
  

EDUCATION AND EXPERIENCE:

• High school diploma or GED
• Basic Life Support (BLS) certified or must be obtained within thirty (30) days of hire
  
  
  

Townsen Memorial Hospital is an accredited network of facilities with an emphasis on emergency care, outpatient surgery, and diagnostics and imaging. Our core mission is to provide compassionate, evidence-based patient care to those we serve. At Townsen Memorial we encompass diversity, dignity, and inclusiveness as a reflection of our core values. Townsen Memorial is committed to driving cutting edge healthcare to our patients, our communities and each other.