Credentialing Analyst

Credentialing Analyst

DEPARTMENT

HIM

REPORTS TO

HIM Manager

POSITION SUMMARY

Responsible for assisting in the coordinating the Medical Staff credentialing, re-credentialing, and privileging process. Ensures appropriate organizational practices are in use. Promotes good public relations through contacts with patients, practitioners, visitors, employees, peers and the public at large. Maintains confidentiality of provider information.

POSITION RESPONSIBILITIES ESSENTIAL FUNCTIONS

Medical Staff Credentialing and Privileging:

New Appointments:

Assists potential Medical Staff with completion of the KAPER-1 Initial Application.

Reappointments:

Prompts Medical Staff for submission of the reappointment information. Verify licenses for Medical Staff and maintain a spreadsheet concerning licenses, malpractice insurance, and certifications. Complete an OIG monthly review & maintain the information in the Medical Staff file. Ensure the providers are not on the exclusions or sanctions lists. Make sure all new Medical Staff have submitted an updated TB skin test verification and Flu Vaccines.

Credential Files:

Maintains individual credential files for each Medical Staff requesting membership and privileges. Attends the Credentialing Committee Meeting, maintains Minutes, and notes. Interacts with others (on the phone or in person) in a positive, professional and appropriate manner. Works cooperatively with others. Shows respect for and an understanding of the contributions of all team members. Protects patient confidentiality by promoting appropriate staff communication practices. Performs other duties as assigned.

MINIMUM EDUCATION

Associates Degree

PREFERRED EDUCATION

College degree preferred.

MINIMUM EXPERIENCE

None required.

PREFERRED EXPERIENCE

1 or more years of experience