Job Information
HealthAlliance Credentialing Specialist in Valhalla, New York
Credentialing Specialist
Company: NorthEast Provider Solutions Inc.
City/State: Valhalla, NY
Category: Clerical/Administrative Support
Department: Business Office
Union: No
Position: Full Time
Hours: 9a - 5:30p
Shift: Day
Req #: 36776
Posted Date: Sep 20, 2023
Hiring Range: $28.16-$35.40
Apply Now
External Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/24918) Internal Applicant link
Job Details:
Job Summary:
The Credentialing Specialist is responsible for providing administrative support for the process of privileging and credentialing the medical staff at Westchester Medical Center. Performing primary source verification and ensuring that all physicians, residents, fellows, dentists, and allied health professionals are clinically qualified for the privileges applied for are major responsibilities of this position. Work is performed in compliance with detailed requirements, guidelines, and deadlines of Centers for Medicare & Medicaid Services, National Committee for Quality Assurance (NCQA), Westchester County Health Care Corporation Board of Directors, accrediting organizations and regulatory agencies. Does related work as required.
Responsibilities:
Performs primary source verification of professional education, training and employment, clinical licensure, board certifications, Drug Enforcement Administration registration, infection control, and other relevant certificates
Queries National Practitioner Database and other relevant national databases and organizations, conducts reference checks and malpractice audit history
Requests documentation, follows up on receipt of required documents, reviews documentation, updates status of application to completion
Supports medical staff committees in the application and credentialing
Develops and maintains an Excel database for tracking sensitive documents, and monitoring expiring licenses and communication of required approvals
Compiles statistical information and data on medical staff and allied health professionals
Responds to requests for practitioner information regarding privileges
Participates in monthly committee meetings and training sessions for clinical department administrators
Does related work as required
Qualifications/Requirements:
Experience:
Five years of experience where the primary function of the position was medical staff credentialing.
Education:
High school or equivalency diploma
Licenses / Certifications:
Other:
Good knowledge of medical staff credentialing processes, procedures and resources; good knowledge of requirements of various organizations which affect the credentialing process such as CMS, NCQA, New York State Education Department, and New York State Department of Health; good knowledge of the requirements of Westchester Medical Center By Laws and policies regarding credentialing and privileging standards for the various clinical departments and sections; good knowledge of medical terminology; ability to assemble and organize data; ability to determine priorities and meet deadlines; ability to effectively use computer applications such as spreadsheets, word processing, calendar, e-mail and database software in performing work assignments; ability to communicate effectively both orally and in writing; ability to establish and maintain effective working relationships with professional medical, technical, managerial, clerical and non-skilled personnel; attention to detail; sound and mature judgment; flexibility.
About Us:
NorthEast Provider Solutions Inc.
Benefits:
We offer a comprehensive compensation and benefits package which includes:
Health Insurance
Dental
Vision
Retirement Savings Plan
Flexible Saving Account
Paid Time Off
Holidays
Tuition Reimbursement
Apply Now
External Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/24918) Internal Applicant link
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