Credentialing Specialist - Full Time

Job Description

Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
Performs initial appointments and reappointments.
Processes all primary source verifications.
Sends completed files to Department for review and signature.
Maintain credentialing database.
Communicate with provider and department to provider necessary information.
Provider support for all credentialing and medical staff operations including responding to phone calls and emails, assisting with FPPE process, regulatory audits.
Maintain working knowledge of Medical Staff Bylaws; Rules & Regs.

Essential Functions

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Performs initial appointments and reappointments.
• Processes all primary source verifications.
• Sends completed files to Department for review and signature.
• Maintain credentialing database.
• Communicate with provider and department to provider necessary information.
• Provider support for all credentialing and medical staff operations including responding to phone calls and emails, assisting with FPPE process, regulatory audits.
• Maintain working knowledge of Medical Staff Bylaws; Rules & Regs.

Competencies (Knowledge, Skills, And Abilities Required)

• Demonstrates attention to detail.
• Critical thinking and problem solving.
• Computer experience and database knowledge.

Education

• Minimum Education and Experience Requirements: High School Diploma/GED minimum AND Experience 3-5 years credentialing experience preferred.
• Minimum Certifications, Registration Or License Requirements: Certified Provider Credentialing Specialist (CPCS) preferred but not required.