Credentialing Specialist, Medical Services Admin (Hybrid)
Atlantic Health (SP)
Application
Details
Posted: 27-May-23
Location: Morristown/NJ/USA
Salary: Open
Categories:
Admin / Clerical
Required Education:
High School
Internal Number: 124969509
Overview
Atlantic Health System is seeking a full-time Credentialing Specialist to work at Morristown Medical Center in Morristown NJ, primarily working 8:00am - 4:00pm. No weekends.
After training period - possibility of being hybrid 2x a week.
Responsibilities
Essential Job Function:
Enforce regulatory compliance and quality assurance
Prepare and maintain reports of credentialing activities such as accreditation, membership or facility privileges
Ensure that all information meets legal, federal and state guidelines when processing applications
Responsible for carrying out various credentialing processes in relation to physicians and allied health practitioners
Process applications for initials applicants as well as reappointments (approximately 125-200 quarterly)
Collect and process significant amounts of verification and accreditation information
Maintain and update accurate information in the Echo database (includes education, training, experience, licensure)
Prepare material for Credentials Committee meeting, MEC as well as Board of Trustees meeting
Sets up and maintains provider information in Echo
Maintains confidentiality of provider information
Ensure compliance with the Bylaws at each location as it pertains to the credentialing process
Schedule, and on occasion attend and take minutes for site based medical staff department meetings
Process and collect dues for the site based medical staff
Compiles and maintains current and accurate data for all providers
Sets up and maintains provider information in online credentialing database
Tracks license and certification expirations for all providers
Maintains confidentiality of provider information
All other duties as assigned
Qualifications
Qualifications/Requirements:
Knowledge of the credentialing process preferred
Ability to organize and prioritize work and manage multiple priorities
Excellent verbal and written communication skills
Ability to research and analyze data
Ability to work independently
Ability to establish and maintain effective working relationships
1-3 years credentialing experience, preferably in a managed care setting preferred
About Us
Atlantic Health System aims to deliver the highest quality, safety and care combined the best experience for our patients and their families. We are confident that you will find success within Atlantic Health System, which has been named for the 14th year in a row to Fortune's 'Top 100 Best U.S. Companies to Work For' list. We believe you will find that our culture of collaboration and care exemplifies the value we place on our patients, their families and our employees.
EEO Statement
Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.