Medical Credentialing Specialist
7 days ago
Medina
Job Description Medical Staff Credentialing Specialist and Coordinator The Medical Staff Credentialing Specialist and Coordinator assists the Medical Director, Hospital Administration, and the Medical Staff Team by coordinating the activities of the organized medical staff. This includes all aspects of the services provided including accreditation compliance, credentials verification, medical staff committee support, and maintenance of medical staff policies, procedures and bylaw development. Shift and Status Full Time, non-exempt position Monday – Friday No weekends No Holidays Competitive pay and benefits package including vacation and sick time, health, dental and vision as well as a pension and retirement plan Position Summary Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all licensed clinical staff members who provide patient care. Responsible for ensuring providers are credentialed, appointed and privileged with health plans, hospitals and patient care facilities. Maintain up to date information for each provider in credentialing databases and online systems and ensure timely renewal of licenses and certification. Duties and Responsibilities • Compiles and maintains current and accurate data for all providers., • Completes provider credentialing and re-credentialing applications, monitors applications and follow-up as needed., • Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers., • Maintains corporate provider contract files., • Maintains knowledge of current health plan and agency requirements for credentialing providers., • Sets up and maintains provider information in online credentialing databases and system., • Tracks license and certification expirations for all providers to ensure timely renewals., • Ensures practice addresses are current with health plans, agencies and other entities., • Audits health plan directories for current and accurate provider information., • Completes credentialing/re-credentialing application packets for hospital, insurance carriers and government programs. Applies for NPI numbers for new providers, provides NPI numbers to physician offices and insurance carriers as requested. Enrolls new and updates existing providers in CAQH (on-line clearing house) according to guidelines., • Initiates malpractice coverage application process for new providers., • Coordinates with Accounts payable to ensure fees and premium payments are submitted for licenses, DEA certificates and malpractice coverage., • Monitors and maintains database of all Continuing Medical Education credits obtained or programs attended by clinical staff, records additional certification earned by providers., • Maintains confidentiality of provider information., • Associates Degree or Certified Provider Credentialing Specialist (CPCS)., • A minimum of 2-3 Years Credentialing experience is preferred., • Excellent verbal and written communication skills, ability to relate well with people of diverse backgrounds, training and experience., • Proficiency with medical practice software programs, Familiarity with credentialing requirements of hospitals and insurance carriers., • Understanding of Malpractice insurance coverages and policies., • Knowledge and understanding of credentialing process., • Ability to organize and prioritize work and manage multiply priorities., • Ability to research and analyze data., • Ability to work independently with minimal supervision., • Ability to establish and maintain effective working relationships with providers, management, staff and external contacts., • Position requires manual and finger dexterity and hand-eye coordination., • Involves standing, sitting, and walking., • Team member will occasionally be asked to lift and carry items weighing up to 10 pounds. Benefits and Perks · We offer an outstanding team-oriented environment, challenging and rewarding careers, and valuable benefits to our employees. · Be a part of an experienced team: We are a family-oriented facility with many of our employees with us for 10, 20 or more years! · Work in a highly-respected organization that is committed to quality patient care! · Flexible scheduling that works around your school schedule. · Competitive wages, superior pension and retirement plan with employer contributions. · Shift differential for working evening and night shift. · Excellent vacation, holiday and sick leave package. · Tuition assistance to provide opportunities for career growth. · Independent health insurance, dental, vision and no-cost life insurance. · Free parking, safe and quiet country setting in Medina along the historic Erie Canal! · The satisfaction of knowing you’re making a difference in someone’s life every day About Us Orleans Community Health is comprised of Medina Memorial Hospital, (a designated Critical Access Hospital), Renal Dialysis Centers located in Medina and Batavia, NY, Primary and Walk-In Clinic in Albion, NY, a 30 bed Skilled Nursing Home, Outpatient and Ambulatory Services, and Community Partners Wellness Center. We are always looking for positive, dependable, caring individuals to join our team! Our Mission To improve the health of the communities we serve by providing equal access to quality health care services at the right time, in the right place, with the most efficient use of resources. Company DescriptionOur History Medina’s hospital, in Medina, NY, had its beginnings in 1908, when it was incorporated by a group of citizens who were interested in establishing a publicly-owned hospital. It began serving the community’s health needs with a 9-bed hospital in the Albert Swett Home – at the corner of Eagle and Prospect Streets – in Medina. In 1925, Medina Memorial Hospital moved to its current location, many renovations and expansions have taken place in the last century. Today Today, Orleans Community Health is a full-service community health provider serving residents in Orleans, Eastern Niagara, and Northern Genesee counties. Orleans Community Health is the only full-service, acute care system in Orleans County. Orleans Community Health is comprised of Medina Memorial Hospital, a designated Critical Access Hospital, Renal Dialysis Centers located in Medina and Batavia, NY, Primary and Walk-In Clinic in Albion, NY, a 30 bed Skilled Nursing Home, Outpatient and Ambulatory Services, and a variety of valuable healthcare services. Medina Memorial Hospital celebrates its 100th anniversary in 2025. Mission, Vision & Values Our Mission: Orleans Community Health exists to improve the health of the communities we serve by providing equal access to quality health care services at the right time, in the right place, with the most efficient use of resources. Our Vision: We will build lasting relationships with the people we serve and become the health care provider of choice for our communities. Our Values: Accountability: We assume full responsibility for our thoughts, feelings, actions, and results. Compassion: We are understanding of others’ feelings, anticipate their needs, and respond with empathy. Collaboration: We work together by sharing knowledge, learning, and building a consensus in an effort to reach common goals. Community: We demonstrate our commitment to the community by offering quality health care and wellness resources, supporting local vendors, and providing rewarding employment opportunities. Excellence: We proactively pursue the resources necessary to stay on the cutting edge of industry trends and consistently delivering exceptional services to all of our stakeholders.Our History\r\nMedina’s hospital, in Medina, NY, had its beginnings in 1908, when it was incorporated by a group of citizens who were interested in establishing a publicly-owned hospital. It began serving the community’s health needs with a 9-bed hospital in the Albert Swett Home – at the corner of Eagle and Prospect Streets – in Medina. In 1925, Medina Memorial Hospital moved to its current location, many renovations and expansions have taken place in the last century. \r\n\r\nToday\r\nToday, Orleans Community Health is a full-service community health provider serving residents in Orleans, Eastern Niagara, and Northern Genesee counties. Orleans Community Health is the only full-service, acute care system in Orleans County.\r\n\r\nOrleans Community Health is comprised of Medina Memorial Hospital, a designated Critical Access Hospital, Renal Dialysis Centers located in Medina and Batavia, NY, Primary and Walk-In Clinic in Albion, NY, a 30 bed Skilled Nursing Home, Outpatient and Ambulatory Services, and a variety of valuable healthcare services.\r\n\r\nMedina Memorial Hospital celebrates its 100th anniversary in 2025.\r\n\r\nMission, Vision & Values\r\nOur Mission:\r\nOrleans Community Health exists to improve the health of the communities we serve by providing equal access to quality health care services at the right time, in the right place, with the most efficient use of resources.\r\n\r\nOur Vision:\r\nWe will build lasting relationships with the people we serve and become the health care provider of choice for our communities.\r\n\r\nOur Values:\r\nAccountability: We assume full responsibility for our thoughts, feelings, actions, and results.\r\nCompassion: We are understanding of others’ feelings, anticipate their needs, and respond with empathy.\r\nCollaboration: We work together by sharing knowledge, learning, and building a consensus in an effort to reach common goals.\r\nCommunity: We demonstrate our commitment to the community by offering quality health care and wellness resources, supporting local vendors, and providing rewarding employment opportunities.\r\nExcellence: We proactively pursue the resources necessary to stay on the cutting edge of industry trends and consistently delivering exceptional services to all of our stakeholders.