Medical Staff Credentialing Specialist (Big Island, Call-In)
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At a glance
Job overview
The Queen's Health Systems is hiring a Medical Staff Credentialing Specialist (Big Island, Call-In). The Medical Staff Credentialing Specialist performs provider credentialing duties, including processing applications, verifying credentials, and monitoring expirations. This role also assists with provider privileges, generates reports, and maintains files according to health system policies. The specialist provides direct support to the Medical Staff Department staff and ensures compliance with governing and medical-legal guidelines.
Key focus areas include Perform provider credentialing duties including processing initial and reappointment applications, Verify physician and allied health providers credentials, and Process hospital affiliation letters.
Successful candidates bring High School Diploma Or Equivalent, Five Years Administrative Secretarial Experience Or Two Years Credentialing Specialist Experience Or Two Years Administrative Experience With Bachelor’s Degree, and Microsoft Office. Important skills include Microsoft Outlook, Microsoft Word, and Excel. Preferred (not required): Microsoft Access, Medical Staff Peer Review Knowledge, Credentialing And Privileging Knowledge, and Appointment And Re-Appointment Requirements/Procedures And Bylaws Knowledge.
Skills & qualifications
Skills
Qualifications
Full job description
RESPONSIBILITIES
I. JOB SUMMARY/RESPONSIBILITIES:
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Performs provider credentialing duties including, but not limited to processing initial and reappointment applications, verifying physician and allied health providers credentials, processing hospital affiliation letters, monitoring license and malpractice expirations, assisting in processing of provider privileges, developing and generating provider profile reports, filing, and maintaining files in accordance with The Queen’s Health System record retention policies.
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Provides direct support to the Medical Staff Department staff. Performs duties in accordance with governing, accrediting and medical-legal guidelines and regulations and the Hospital’s policies and procedures.
II. TYPICAL PHYSICAL DEMANDS:
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Essential: finger dexterity, seeing, hearing, and speaking.
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Continuous: sitting, static gripping of an object for prolonged periods
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Frequent: walking.
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Occasional: standing, stooping/bending, climbing stairs, walking on uneven ground, lifting and carrying usual weight of 1 pound up to 5 pounds, reaching above, at and below shoulder level, frequent gripping of an object.
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Operates: computer, typewriter, calculator, telephone, fax and printer.
III. TYPICAL WORKING CONDITIONS:
- Not substantially subjected to adverse environmental conditions.
IV. MINIMUM QUALIFICATIONS:
A. EDUCATION/CERTIFICATION AND LICENSURE:
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High school diploma or equivalent.
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Bachelor’s degree preferred.
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Certification as Medical Staff Coordinator (CMSC) or Professional in Medical Staff Management (CPMSM) desirable.
B. EXPERIENCE:
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Minimum five (5) years administrative level secretarial position in a hospital setting; minimum (2) years Credentialing Specialist experience in a hospital setting; or two (2) years administrative experience with a bachelor’s degree.
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Knowledge of Microsoft Office in Outlook, Word, Excel required. Access highly desirable.
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Experience to demonstrate:
o Knowledge of medical staff peer review, credentialing and privileging; appointment and re-appointment requirements/procedures and bylaws; and, medical staff administrative policies and procedures preferred.
o Knowledge of medical terminology preferred.
Equal Opportunity Employer/Disability/Vet
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