Orleans Community Health/Medina Memorial Hospital
Medical Staff Credentialing Specialist and Coordinator
Orleans Community Health/Medina Memorial Hospital, Medina, New York, United States
Medical Staff Credentialing Specialist and Coordinator
Join to apply for the Medical Staff Credentialing Specialist and Coordinator role at Orleans Community Health/Medina Memorial Hospital
Position
Medical Staff Credentialing Specialist and Coordinator
Apply Online – Orleans Community Health
Overview Shift and Status: Full Time, non-exempt position. Monday – Friday. No weekends. No Holidays.
Responsibilities
Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all licensed clinical staff members who provide patient care.
Ensure providers are credentialed, appointed and privileged with health plans, hospitals and patient care facilities.
Maintain up to date information for each provider in credentialing databases and online systems and ensure timely renewal of licenses and certification.
Compiles and maintains current and accurate data for all providers.
Completes provider credentialing and re-credentialing applications, monitors applications and follow-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 health plan and agency requirements for credentialing providers.
Sets up and maintains provider information in online credentialing databases and systems.
Tracks license and certification expirations for all providers to ensure timely renewals.
Ensures practice addresses are current with health plans, agencies and other entities.
Audits health plan directories for current and accurate provider information.
Completes credentialing/re-credentialing application packets for hospital, insurance carriers and government programs. Applies for NPI numbers for new providers, provides NPI numbers to physician offices and insurance carriers as requested. Enrolls new and updates existing providers in CAQH (online clearinghouse) according to guidelines.
Initiates malpractice coverage application process for new providers.
Coordinates with Accounts payable to ensure fees and premium payments are submitted for licenses, DEA certificates and malpractice coverage.
Monitors and maintains database of all Continuing Medical Education credits obtained or programs attended by clinical staff; records additional certification earned by providers.
Maintains confidentiality of provider information.
Provides credentialing and privileging verification.
Qualifications
Associates Degree or Certified Provider Credentialing Specialist (CPCS).
A minimum of 2-3 years credentialing experience.
Excellent verbal and written communication skills; ability to relate well with people of diverse backgrounds, training and experience.
Proficiency with medical practice software programs; familiarity with credentialing requirements of hospitals and insurance carriers.
Understanding of Malpractice insurance coverages and policies.
Knowledge and understanding of credentialing process.
Ability to organize and prioritize work and manage multiple priorities.
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 external contacts.
Proficient use of Microsoft Office (Word, Excel and Access).
Physical Demands
Position requires manual and finger dexterity and hand-eye coordination.
Involves standing, sitting, and walking.
Team member will occasionally be asked to lift and carry items weighing up to 10 pounds.
Benefits We offer an outstanding team-oriented environment, challenging and rewarding careers, and valuable benefits to our employees. Some of the perks and benefits you’ll enjoy working for OCH are:
Part of an experienced team in a family-oriented facility.
Respect for quality patient care; realistic staffing levels with downtime during the day.
Flexible scheduling that works around personal and school schedules.
Competitive wages with pension and retirement plans with employer contributions.
12% shift differential for evening and night shifts.
Vacation, holiday and sick leave package.
Tuition assistance for career growth; health, dental, vision and no-cost life insurance.
Free parking; located in Medina near the Erie Canal.
About Us Orleans Community Health is comprised of Medina Memorial Hospital (a designated Critical Access Hospital), Renal Dialysis Centers located in Medina and Batavia, NY, Primary and Walk-In Clinic in Albion, NY, a 30 bed Skilled Nursing Home, Outpatient and Ambulatory Services, and Community Partners Wellness Center. We are always looking for positive, dependable, caring individuals to join our team.
Our Mission To improve the health of the communities we serve by providing equal access to quality health care services at the right time, in the right place, with the most efficient use of resources.
Salary
Expectations for this role: Annually $50,000-$60,000
References to other roles and postings have been removed to maintain focus on the primary job description.
#J-18808-Ljbffr
Position
Medical Staff Credentialing Specialist and Coordinator
Apply Online – Orleans Community Health
Overview Shift and Status: Full Time, non-exempt position. Monday – Friday. No weekends. No Holidays.
Responsibilities
Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all licensed clinical staff members who provide patient care.
Ensure providers are credentialed, appointed and privileged with health plans, hospitals and patient care facilities.
Maintain up to date information for each provider in credentialing databases and online systems and ensure timely renewal of licenses and certification.
Compiles and maintains current and accurate data for all providers.
Completes provider credentialing and re-credentialing applications, monitors applications and follow-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 health plan and agency requirements for credentialing providers.
Sets up and maintains provider information in online credentialing databases and systems.
Tracks license and certification expirations for all providers to ensure timely renewals.
Ensures practice addresses are current with health plans, agencies and other entities.
Audits health plan directories for current and accurate provider information.
Completes credentialing/re-credentialing application packets for hospital, insurance carriers and government programs. Applies for NPI numbers for new providers, provides NPI numbers to physician offices and insurance carriers as requested. Enrolls new and updates existing providers in CAQH (online clearinghouse) according to guidelines.
Initiates malpractice coverage application process for new providers.
Coordinates with Accounts payable to ensure fees and premium payments are submitted for licenses, DEA certificates and malpractice coverage.
Monitors and maintains database of all Continuing Medical Education credits obtained or programs attended by clinical staff; records additional certification earned by providers.
Maintains confidentiality of provider information.
Provides credentialing and privileging verification.
Qualifications
Associates Degree or Certified Provider Credentialing Specialist (CPCS).
A minimum of 2-3 years credentialing experience.
Excellent verbal and written communication skills; ability to relate well with people of diverse backgrounds, training and experience.
Proficiency with medical practice software programs; familiarity with credentialing requirements of hospitals and insurance carriers.
Understanding of Malpractice insurance coverages and policies.
Knowledge and understanding of credentialing process.
Ability to organize and prioritize work and manage multiple priorities.
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 external contacts.
Proficient use of Microsoft Office (Word, Excel and Access).
Physical Demands
Position requires manual and finger dexterity and hand-eye coordination.
Involves standing, sitting, and walking.
Team member will occasionally be asked to lift and carry items weighing up to 10 pounds.
Benefits We offer an outstanding team-oriented environment, challenging and rewarding careers, and valuable benefits to our employees. Some of the perks and benefits you’ll enjoy working for OCH are:
Part of an experienced team in a family-oriented facility.
Respect for quality patient care; realistic staffing levels with downtime during the day.
Flexible scheduling that works around personal and school schedules.
Competitive wages with pension and retirement plans with employer contributions.
12% shift differential for evening and night shifts.
Vacation, holiday and sick leave package.
Tuition assistance for career growth; health, dental, vision and no-cost life insurance.
Free parking; located in Medina near the Erie Canal.
About Us Orleans Community Health is comprised of Medina Memorial Hospital (a designated Critical Access Hospital), Renal Dialysis Centers located in Medina and Batavia, NY, Primary and Walk-In Clinic in Albion, NY, a 30 bed Skilled Nursing Home, Outpatient and Ambulatory Services, and Community Partners Wellness Center. We are always looking for positive, dependable, caring individuals to join our team.
Our Mission To improve the health of the communities we serve by providing equal access to quality health care services at the right time, in the right place, with the most efficient use of resources.
Salary
Expectations for this role: Annually $50,000-$60,000
References to other roles and postings have been removed to maintain focus on the primary job description.
#J-18808-Ljbffr