Credentialing Assistant (Hybrid) - Ophthalmology

Scheduled Hours

40

Position Summary

Supports and facilitates all aspects of the system credentials verification process for medical staff and managed care provider appointments and re-appointments. Includes credentials verification of allied health providers as required.

Job Description

Primary Duties & Responsibilities:

• Serves as accountable for initial and continuous verification of credentials of medical staff members, health care/allied health providers for medical staff and managed care providers. Serves as accountable for ensuring ongoing state and federal licensure, compliance with JCAHO and NCQA standards and observance of applicable hospital medical staff by laws and managed care provider contracts and agreements.
• Ensures maintenance of current and accurate data/information in system credentials database. Appropriately utilizes the database to produce reports, lists, rosters, etc., assisting BJC facilities as needed.
• Maintains the permanent credentials files on all applicable medical staff members, managed care and allied health providers. Assures accuracy of records and maintains a state of readiness at all time for review/audit by delegated entities, licensing and accrediting agencies.
• Participates in training and development of HMP personnel on credentialing verification issues.
• Assures the confidentiality and integrity of all aspects of the credentialing verification program and process.
• Performs other duties as assigned.

Working Conditions:

Job Location/Working Conditions
Normal office environment

Physical Effort
Typically sitting at a desk or table

Equipment
Office equipment

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education:

High school diploma or equivalent high school certification or combination of education and/or experience.

Certifications/Professional Licenses:

No specific certification/professional license is required for this position.

Work Experience:

Relevant Experience (3 Years)

Skills:

Not Applicable

Driver's License:

A driver's license is not required for this position.

Preferred Qualifications

Skills:

Credentialing, Medical Offices, Medical Staff Credentialing

Grade

C08-H

Salary Range

$20.57 - $30.84 / Hourly