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Baptist Memorial Health Care

Specialist-Credentialing Senior

Baptist Memorial Health Care, Memphis, Tennessee, us, 37544

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Overview

Job Summary: Supports management with operational administration of the system credentialing and recredentialing/reappointment process. Monitors and executes daily tasks based on implemented policies and procedures to assure compliance with applicable credentialing standards including The Joint Commission, NCQA and/or accrediting and regulatory bodies. Supports management by assisting with committee preparation, facilitation and follow-up for committee review, preparation and participation in audits/surveys and subsequent system updates. Responsibilities

Administers credentialing/recredentialing/reappointment process for designated providers, assuring compliance with applicable accrediting and regulatory standards. Executes the process in accordance with appropriate bylaws, hospital rules, regulations, and policies/procedures to assure that only qualified practitioners provide care. Coordinates verification of documentation and information assuring accuracy and timely follow-up. Administers and maintains comprehensive practitioner database with particular emphasis on integrity and completeness of documentation. Provides status reports, ad hoc queries, and other documents and summaries as requested. Provides administrative support to appropriate leaders and applicable committees to assist them in carrying out their responsibilities and complying with the requirements outlined in the Bylaws, Procedures, and Hospital Rules and Regulations. Executes daily tasks to assure compliance with production and quality standards. Completes assigned goals. Qualifications

Experience: Three Years Of Credentialing Experience Required. Education: Minimum Required – Associate's Degree in office administration, business, computer science or related field or equivalent experience. Associate's Degree or Work experience equivalent. Training: Minimum Required Skills: Knowledge and proficiency in the use of personal computers including Microsoft Office solutions e.g. Word and Excel Licensure: CPCS or CPMSM Certification is required to be obtained within one year of hire. Seniority level

Mid-Senior level Employment type

Other Job function

Information Technology Industries

Hospitals and Health Care

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