CREDENTIALING/PRIVILEGING SPEC

Job Locations US-AK-Juneau
Job ID
2020-4408
Category
ADMIN-MED EXEC COMMITTEE
Type
Regular Full-Time/80hrs (1.0 FTE)

About Us:

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

 

Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.

Job Overview:

The Credentialing/Privileging Specialists completes credentialing and privileging duties for permanent, temporary and/or locum providers who will provide services within SEARHC under the direction of the Manager of Medical Staff Services. The specialist will also provide administrative assistance to the various Medical Directors, the Medical Staff and the Medical Executive Committee as needed. The specialist collaborates with the administrative assistants of hospital/clinic administrators and various clinics to provide additional administrative support as needed.

Responsibilities:

  • Creates, maintains, and manages credentials files for medical staff (active, courtesy, consulting, and allied) by: assures all new medical staff complete a credentialing application; assures all applications are complete and accurate; obtains primary source verification for all applications in accordance with state, federal, TJC, CMS, medical staff bylaws, rules and regulations, to ensure all applications for appointment/reappointment are appropriately credentialed and privileged. Obtains interview notes from the gaining facilities Medical Director.   Obtains references through direct contact with peer references, affiliations, and employers.  Ensures privileging criterion is met.  Compiles, organizes and reviews information to ensure any issues are flagged.  Corresponds with medical staff and other healthcare professionals to obtain credentialing information. Works with the Manager to ensure applications are complete. 
  • Supports expireables process to ensure primary source verifications are completed in a timely manner in accordance with federal and state regulations. Notifies providers of upcoming expiring licenses, certifications as required by credentialing and privileging.  Updates credentialing software, additional systems as needed. 
  • Provides administrative support to the Medical Staff as needed. In keeping with the supervisor's policies, and using judgment and discretion, personally answers questions and provides information. Prepares letters, memos, and reports into final form from rough drafts, brief notes, dictation or oral instructions. Responsible for proper spelling, grammar, format, punctuation, capitalization, and sentence structure. 
  • Assists with the process and placement of Medical Students and Residents within SEARHC. Works with HR to ensure appropriate orientation arrangements are made. Submits information to HR to begin IT access process. 
  • Support staff person for medical staff committees as needed by assisting with meeting preparation, taking, and preparing minutes of those meetings. 
  • Other duties as assigned

Qualifications:

Education:

  • Associates in Business Administration or equivalent training and work 

Certification

  • Certified Provider Credentialing Specialist (CPCS) preferred. Applicants should pursue certification within 4 years of start..

Experience:

  • 2 years of office experience to include word processing and transcription skills.
  • Familiar and well-versed in Microsoft Excel and office programs.

Knowledge, Skills, & Abilities:

Knowledge of:

  • Corporate operation.

Skills in:

  • Communication, both written and
  • Customer service.
  • Analysis

Ability to:

  • Maintain confidentiality
  • Deal with public and employees diplomatically
  • Work independently and cordially with others
  • Type 40WPM

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