Credentialing Specialist KMH

Facility:

Kenmore Mercy Hospital Shift:

Shift 1

Status:

Full Time FTE:

1.000000

Bargaining Unit:

ACE Associates Exempt from

Overtime:

Exempt:

No Work Schedule:

Days Hours:

Monday - Friday, 7am -3pm.

Summary:

The Credentialing Specialist is responsible for assisting with the process of electronic credentialing and privileging of Medical Staff members in accordance with the Medical Staff Bylaws, Joint Commission standards and the Center for Medicare/Medicaid Services (CMS), the Department of Health (DOH) and New York State regulatory requirements. This requires electronic collection, processing and organizing significant amounts of verification data. The database maintained includes education, training, licensure and experience content. The Credentialing Specialist shall assist the Manager of the Medical Staff Office and/or the Director of Medical Staff Services, when required. May perform duties for members of the Medical Staff and assist with Medical Staff committees as required.

Responsibilities:

EDUCATION A.A.S.

Degree or equivalent certificate program preferred Minimum of three (3) years of direct credentialing experience required Certified Provider Credentialing Specialist (CPCS) Certification desired

EXPERIENCE

Three (3) years of experience in a health care related field CVO/MSO or office credentialing experience preferred Web based credentialing and privileging software experience preferred Experience with Physician credentialing strongly preferred

KNOWLEDGE, SKILL AND ABILITY

Strong Microsoft Office skills, knowledge of Word, Excel, Outlook, Adobe Acrobat knowledge of automated Medical Staff or physician office systems preferred Strong critical thinking skills Must have a high degree of integrity that is aligned with the values of the organization Ability to multitask Strong communication skills, both oral and written Ability to establish priorities and ability to work well under pressure Ability to provide work of high quality and accuracy Resourceful with strong research skills Strong interpersonal skills Good judgment, common sense and diplomacy Solid organizational skills Ability to work independently Ability to analyze data and prepare meaningful reports Ability to identify, react, and follow through in an appropriate manner in credentialing matters Must remain confidential on all Medical Staff matters Must be knowledgeable of

JC/NYS 405

Standards as they apply to Medical Staff credentialing

WORKING CONDITIONS

Normal heat, light space, and safe working environment; typical of most office jobs Individual may be required to share office space with another associate