Credentialing & Privileging Specialist
: Job Details :


Credentialing & Privileging Specialist

Cambay Healthcare

Location: all cities,SD, USA

Date: 2024-12-21T04:34:37Z

Job Description:
*Job Summary*A credentialing specialist makes sure healthcare professionals meet the necessary qualifications to provide care. Their primary responsibility is to verify and assess the credentials of providers to ensure compliance with industry standards and regulatory requirements. Completes credentialing, privileging, enrollment, proctorship, and orientation activities for the Medical Staff and other providers. Acts as a recording secretary for the applicable department meetings. Plans, coordinates and provides support to the staff as needed*Title*: Credentialing & Privileging Specialist.*Location*: Rapid City, SD*Shift*: (Day) 8:00 AM to 5:00 PM. (Mon-Fri)*Duration*: 13 weeks with Possible Extension.*Scheduling:** Weekend rotation: no weekends* Holiday Expectations: no holidays* RTO Approval: Manager to approve* Shift times: Monday-Friday 8-5*Requirements**Minimum Experience:** _*Required *_ to have 1+ years of Credentialing & Privileging experience at Hospital or healthcare facility.* _*Required *_ to have 1+ years of Administrative Experience in Credentialing & Privileging* Will you accept a first-time traveler? Yes*Required Education:** High School Diploma/GED Equivalent in General Studies (Required)* Associates degree in Healthcare (Preferred)*Duties** Assists in processing new and reappointment applications including but not limited to board certifications, all state licenses, databanks, federations, credentials verification, exclusion checks, etc.* Assists in the credentialing and privileging process and provides support to the Medical Staff Coordinator.* Communicates necessary information and requests to the VPMA, Medical Staff Coordinator, and other department staff. Composes correspondence, memos, and reports in an accurate and professional manner in response to the Medical Staff and VPMA needs.* Coordinates orientation and proctorship for new physicians and other practitioners with privileges. Maintains, monitors, and reports expirations of physician and practitioner licenses, insurance, DEA numbers, TB test results, and other items as required.* Prepares agendas and accurately records and transcribes minutes of medical staff department meetings, committee meetings, and other committee meetings of the Medical Staffs' leadership (i.e. Executive Council).* Applies for and maintains compliant Federal, State, and other third-party payor professional provider numbers for all providers employed or contracted by Monument Health.* Provides oversight for and maintains the provider enrollment database for appropriate task management, provider communication, and repository of applications and files.* Completes necessary enrollment, re-enrollment, and change applications in an accurate and timely manner.* All other duties as assigned.Job Types: Full-time, ContractPay: $1,500.00 - $1,650.00 per weekSchedule:* 8 hour shift* Day shift* Monday to Friday* No weekendsApplication Question(s):* Do you have 1+ years of Credentialing & Privileging experience in a Hospital or Healthcare Faciltiy?* Do you have 1+ years of Administrative Experience in Credentialing & Privileging ?Education:* High school or equivalent (Required)Ability to Commute:* South Dakota (Preferred)Work Location: In person
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