Credentialing Specialist II

• FT•Days•Med Ofc Stf DHR Health•2.

9 McAllen, TX Job Details Full-time 1 day ago Qualifications Customer communication Medical software High school diploma or GED Full Job Description DHR Health•

US:

TX:

McAllen•

Days Summary:

FLSA STATUS

Exempt Non-Exempt

MISSION STATEMENT

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.

VISION:

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

POSITION SUMMARY

Under the direction of the Lead Credentialing Specialist, assists in the coordination of all Medical Staff requirements. Provides secretarial support of the Medical Staff's credentialing including the processing of new applications, requests for temporary privileges, and biennial reappointments. Performs general office and secretarial work, including typing, taking and transcribing dictation, preparation of confidential and special reports.

POSITION EDUCATION/ QUALIFICATIONS

HS Diploma or GED required. Experience and proficiency in using Cactus software required Secretarial training. Typing 50 wpm. Shorthand/speedwriting preferred. Medical terminology knowledge desired. Minimum of three years experience in confidential, executive/ legal secretarial position and/or three years experience in a hospital Medical Staff Office secretarial position. Knowledge of basic record keeping and filing systems. Demonstrates skill at written and oral communications including taking minutes at selected meetings and relating to physicians and allied health professionals regarding their applications for initial privileges, reappointments and/or temporary privileges. Ability to perform basic word processing procedures. Ability to prepare reports and follow

• up with minimal supervision.

JOB KNOWLEDGE/EXPERIENCE

High degree of competency/experience in general. Able to respond to patient/visitor needs by interpreting facial expressions and/or verbal communications. Requires good communication and organizational skills. Requires reasoning ability and good independent judgment. Requires working with frequent interruptions

Responsibilities:

POSITION RESPONSIBILITIES

Perform Credentialing activities in accordance with established policies and procedures. Assist with appointment and reappointment process of the Medical Staff and APP Staff. Processing Applications Corresponding with outside agencies regarding verification of information. Verifying information in credential files by contacting primary sources. Querying practitioner's data bank appropriately. Maintain confidentiality of all credentialing files. Assist with maintenance and verification of current Texas licensure, DEA, DPS, and malpractice insurance on all Medical Staff and APP Staff members. Identify inconsistencies in credential files. Work closely with Medical Staff Coordinator in utilizing physician performance improvement profile for reappointment purposes. Work with Medical Staff Coordinator to maintain computerized system of monitoring and trending physician's information

• medical staff roster, and special reports as requested.

Maintain confidential credentials files of all members of the Medical Staff and Advanced Practice Providers. Maintain on-going Tickler system for reappointment of medical staff and APP staff.

Process requests for applications:

maintain records of applications provided. Review new applications for completeness, prepares, and sends for references. Record status of responses. Send follow-up requests when needed. Maintain current records of proctoring of physicians and assures appropriate review by committee chairmen and Credentials Committee. Explains proctoring information to new staff members. Assure that the reappointment process is initiated for each member of the Medical Staff and the Advanced Practice Providers in a timely manner. Follow up on missing information and obtain appropriate approvals. Prepare agendas, materials, places calls to confirm attendance, attends meetings and takes minutes at selected meetings. Accurately and neatly types in prescribed manner. Proofreads to ensure accuracy. Accurately record statistics in computer as directed. Accurately and consistently file information in credentials folders. Obtain signatures on credentials forms and credentials files as needed. Maintain ER drop-in call schedule, as needed. Accurately and neatly file minutes in each appropriate three ring binder as needed. Maintain confidentiality of all records and issues handled in the Medical Staff Office. Fax monthly meeting calendar as requested by physicians. Maintain all tickler systems and rosters pertinent to the Medical Staff Office. Assist in general mailings to the Medical Staff. Maintain accurate master mailing list for all current Medical Staff and APP Staff and committees. Order supplies as needed on a weekly basis. Assist in scheduling/coordinating meeting rooms for the Medical Staff. Post bulletin boards. Transcribe dictation from chief of staff, committee chairmen, administrators, and others as required. Photocopy accurately a multitude of requests by the Lead Credentialing Specialist. Cover the Lead Credentialing Specialist position as required. Must be well organized for prioritization of responsibilities. Must be able to handle stress relative to rush projects and meeting deadlines. Must be able to work under pressure in a highly productive office. Must be able to cope with interruptions, varying personalities, and some irregular hours. Must possess organizational and communication skills. Must possess willingness to improve. Will be exposed to highly confidential Medical Staff proceedings and actions and sensitive Medical Staff information, including patient materials related to peer review, quality assurance, physician litigation, and consequences of physician behavior. Adhere to dress code in accordance with hospital policy and wears name tag at all times. Other duties as assigned

LINES OF REPSONSIBILITES

: 1. Lead Credentialing Specialist 2. Manager 3. Director 4. Executive VP Admin Chief of Staff Other information:

CUSTOMER SERVICE

Provide excellent customer service to all DHR customers. All employees are required to attend the

DHR C.A.R.E.S

program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.

AGE SPECIFIC

: Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age.

AMERICANS WITH DISABILITIES ACT

(ADA) : A.

Essential Duties :

Indicated by bold print within performance standards, preceding individual numbered criteria. The following table provides physical requirements that will be associated with, but not limited to, this position: Light/moderate lifting up to 20 lbs, from the floor to shoulder height. Yes Kneeling Yes Must be able to assist other employees with lifting more than 20 lbs. Yes Walking Yes Light/moderate carrying up to 20 lbs. Yes Standing/Squatting Yes Straight pulling Yes Sitting Yes Pulling hand over hand Yes Pushing Yes Repeated bending Yes Stooping/Bending Yes Reaching above shoulder Yes Climbing Stairs Yes Simple grasping Yes Climbing Ladders No Dual simultaneous grasping Yes Depth Perceptions needed Yes Ability to see Yes Identify Colors Yes Operating office equipment Yes Twisting Yes Operating mechanical equipment Yes Crawling No Ability to read and write Yes Ability to Count Yes Ability to hear verbal communication without aid Yes Operating Personal Vehicle Yes Ability to comprehend written/verbal communication

Yes Other:

Ability to deal with stress Yes OSHA Category III B.

Working Conditions :

The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents. C.

Occupational Exposure:

This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way. D.

Aptitudes :

HIGH 1 2 3 4 5 6 LOW

Intelligence:

General learning ability: The ability to "catch on" or understand instructions and underlying principles. Ability to reason and make judgments. 3

Verbal:

Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3

Numerical:

Ability to perform arithmetic operations quickly and accurately. 2

Spatial:

Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to "visualize" objects or two or three dimensions, or to think visually of geometric forms. 2

Form Perception:

Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3

Clerical Perception:

Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2

Motor Coordination:

Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3

Finger Dexterity:

Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3

Manual Dexterity:

Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3

Eye-Hand-Foot Coordination:

Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3

Color Discrimination:

Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3 I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform. If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.

Employee Signature:

________________________________

Date:

____________________

Transfer/Hire Date Effective:

________________________.