Mission Statement:
·We, St Joseph’s Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
Vision:
·To be world-renowned for passionate patient care and outstanding clinical outcomes.
Core Values:
·In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are.
POSITION SUMMARY:
Processes credentialing and re-credentialing applications of health care providers, reviews applications, prepares verification letters and maintains database. Is able to handle several situations simultaneously and prioritize accordingly. Must maintain confidentiality. Must be self-directed.
EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:
High school graduate or equivalent, business school or formal secretarial training preferred. Participates in education conferences and in-services. Certified Provider Credentialing Specialist (CPCS) Certification preferred.
Participates in orientation and continuing education. Updates and maintains knowledge and skills related to specific areas of expertise.
SPECIAL EQUIPMENT, SKILLS OR OTHER REQUIREMENTS:
PC and appropriate software knowledge. Knowledge of office equipment and supplies. A solid understanding of department related terminology. Effective communication skills both oral and written as well as good interpersonal, motivational and strong organizational skills including time management required. Customer service orientation.
WORK ENVIRONMENT AND HAZARDS:
Office environment. Exposure class II.
PHYSICAL DEMANDS:
Sedentary work.
WORK CONTACT GROUP:
All services, employees, medical staff, patients, visitors, contractors, vendors, and various regulatory and professional agency staff.
SUPERVISED BY:
Director, Manager, or Coordinator
SUPERVISES:
None
CAREER PATH:
Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) Certification.
General Performance Criteria: Credentialing Specialist
Expectations
Exceeds Meet Below
Has broad based knowledge of hospital unit/services.
Adheres to established hospital policy and procedure related to job function.
Reviews applications and other data for accuracy and completeness.
Performs verification of reappointment applications by preparing requests for
information letters, tracks responses and follows-up for needed information.
Obtains licensure, certification and insurance certificates at time of
reappointment and maintains in database.
Enters accurate and up-to-date data for each applicant into the database and
responds to verification requests.
Assists in compliance with the accrediting and regulatory agencies in regards
to credentialing while developing and maintaining a working knowledge of
the statutes and laws.
Responsible for coordination and preparation of medical staff functions;
prepares for committee meetings, takes minutes, processes and distributes
appropriate correspondence.
Ensures that all expirables are reviewed, obtained and managed on a monthly
basis according to the rules and policies.
Assists in managing the flow of information between the MSO team,
Credentials and MEC Committee members, Medical Staff Leadership
(including the Service, Department and Section Chairpersons) and the
Vice President for Medical Affairs.
Assists Medical Staff Services Manager with duties such as making
copies, preparing mailings, attending staff meetings, preparing minutes, etc.
Maintains the confidentiality of all business/work and medical staff information.
Pay Range based on experience and location: $25.50-$35.70
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.