• Specialist-Credentialing Senior

    Baptist Memorial (Memphis, TN)


    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

     

    the following: committee preparation, facilitation and follow-up for committee review, preparation and

     

    participation in audits/surveys and subsequent system updates.

    Job 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.

    Experience

    Minimum Required

    Three years of Credentialing experience required.

    Education

    Minimum Required

    Completion of Associate's

     

    Degree in office administration,

     

    business, computer science or

     

    related field or equivalent

     

    experience.

     

    Associate's Degree

     

    Training

    Minimum Required

    Special Skills

    Minimum Required

    Knowledge and proficiency in the

     

    use of personal computers

    including Microsoft Office

    solutions e.g. Word and Excel

     

    Licensure

    Minimum Required

    CPCS or CPMSM Certification is

     

    required to be obtained within

     

    one year of hire.

    REQNUMBER: 32554