Credentialing Assistant (Remote) - Pediatrics Central Administration

Position Summary

Position supports and facilitates all aspects of credentials onboarding & verification process for medical staff appointments and re-appointments. Includes credentialing of allied health providers and fellows as required.

Job Description

Primary Duties & Responsibilities:

• Accountable for initial and continuous verification of credentials of medical staff members, for hospital medical staff office, state and managed care payors.
• Ensures ongoing state and federal licensure, compliance with JCAHO and NCQA standards, observance of applicable hospital medical staff by laws state and state/managed care payors agreements.
• Responsible for initial and continuous credentialing and reappointing of all medical staff members. Assists with initial state licensure applications and hospital applications for privileges as needed.
• Ongoing maintenance of current and accurate data/information in system credentials database. Appropriately utilizes the database to produce reports, lists, rosters, etc., assisting BJC & contracted facilities as needed.
• Maintains the permanent credentials files on all applicable medical staff members, managed care and allied health providers as well as fellows. Assures accuracy of records and maintains a state of readiness at all time for review/audit by delegated entities, licensing and accrediting agencies.
• Assures the confidentiality and integrity of all aspects of the credentialing verification program and process.
• Keeps credentialing manager, appeals manager, and divisional management informed of credentialing of medical staff members.
• 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

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)

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