Credentialing Analyst Job Listing at MedStar Medical Group in DE (Job ID req41655)

Description

General Summary of Position
Under the direction of the System Director, responsible for the administrative duties required in the credentialing primary source verification process. Imports, enters, and maintains specialized applicant information into a complex database and coordinates the credentialing and primary source verification process for the Medical Staff offices of the respective MSH entities. Ensures the credentialing and primary source verification process complies with organizational as well as an accrediting agency, Federal, and State regulatory standards. 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

Minimum Qualifications
Education

• High School Diploma or GED required
• Associate's degree or Bachelor's degree preferred

Experience

• 3-4 years Experience in credentialing or equivalent experience required

Licenses and Certifications

• Certified Provider Credentialing Specialist (CPCS) preferred
• Certified Medical Professional Services Management (CPMSM) preferred

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 are required to handle the voluminous influx of credentialing applications 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 are 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 $23.19 - $40.61