Description
General Summary of Position
Under the direction of the System Director, coordinates and prioritizes a high volume of diverse requests relating to compliance documents and expirables. Responsible for all expirables-related duties, including: emailing or mailing monthly expirables letters to practitioners and handling all related follow-up. Continually tracks expirables, using defined reports and dashboards within the credentialing database, in order to obtain the credential renewal information. Routinely queries websites to acquire renewals and scans or imports those renewals into the credentialing database and updating the related documents. Responsible for assisting practitioners with inquiries as it relates to the utilization and access to the online practitioner portal. Works in a team environment within the department and with the Medical Staff offices. Serves as a liaison between MSH affiliated hospitals and Medical Staff Administration offices, MMG and MedStar Family Choice.
Primary Duties and Responsibilities
Minimal Qualifications
Education
- High School Diploma or GED required or
- equivalent required and
- Associate's degree preferred
Experience
- 1-2 years Experience in general healthcare office procedures, insurance/risk management or credentialing services. required
Knowledge, Skills, and Abilities
- Working knowledge of general office practices and software applications (MS Office) and database management.
- Demonstrated understanding of credentialing policies and procedures and training program requirements as established by the CVO, as well as accreditation and regulatory requirements relating to the medical staff, specifically Joint Commission and NCQA.
- Organizational skills required to handle voluminous influx of compliance and expirables documents and to prioritize tasks in order to meet cyclical deadlines.
- Ability to manage demanding workload; self-motivated; able to carry out responsibilities with minimum supervision.
- Analytical skills necessary to determine whether correct and complete information was provided on applications.
- Meticulous attention to detail.
- Interacts with diverse groups of people within the Health System and with outside agencies.
- Adheres to professional confidentiality standards in accordance with legal, ethical, and departmental policies.
- Handles sensitive and confidential situations/information, with a high degree of tact and diplomacy.
- Effective interpersonal skills and demonstrated written and verbal communication skills are necessary to interact with providers and both external and internal customers.
- Possesses excellent command of English; verbal, written (to include grammar and spelling), and reading comprehension.
- Exhibits excellent interpersonal skills, including those required for customer service
This position has a hiring range of $20.57 - $36.27
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