Credentialing Coordinator - Lahey Hospital & Medical Center
Location: Burlington, MA
Credentialing Coordinator
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Job ID 134749
Date posted 10/01/2015
Responsibilities Under the general supervision of the System Director, the Credentials is responsible for performing all duties related to the credentialing and privileging processes for medical staff and advanced practitioners.
Essential Duties & Responsibilities including but not limited to:
1. Coordinates the credentialing and privileging processes for initial and re-credentialing and privileging for medical staff and advanced practitioners.
2. Verifies eligibility, education, training, board certifications, work history references, licensure and certifications, malpractice coverage and privileges being requested, in accordance with NCQA and TJC standards and requirements.
3. Manages expirables as appropriate.
4. Enters all data in the appropriate databases assuring accuracy and completeness.
5. Organizes and maintains paper and electronic files as required.
6. Assembles and presents files for presentation to the Credentials Committees for recommendation and approval of appointments and privileges.
7. Maintains a working knowledge or TJC and NCQA standards as well as of the Medical Staff Bylaws and applicable hospital policies to ensure compliance.
8. Exemplifies a culture of excellence and customer service in all processes with all internal and external customers and all external representation of Lahey Hospital & Medical Center.
Organizational Requirements:
Maintain strict adherence to the Lahey Hospital & Medical Center Confidentiality policy.
Incorporate Lahey Hospital & Medical Center Standards of Behavior and Guiding Principles into daily activities.
Comply with all Lahey Hospital & Medical Center Policies.
Comply with behavioral expectations of the department and Lahey Hospital & Medical Center.
Maintain courteous and effective interactions with colleagues and patients.
Demonstrate an understanding of the job description, performance expectations, and competency assessment.
Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
Participate in departmental and/or interdepartmental quality improvement activities.
Participate in and successfully completes Mandatory Education.
Perform all other duties as needed or directed to meet the needs of the department. Qualifications Education: Work requires the knowledge of theories, principles, and concepts typically acquired through completion of an Associate degree in healthcare or related field
Licensure, Certification & Registration: Certified Provider Credentialing Specialist (CPCS) or Certified Professional in Medical Staff Management (CPMSM) strongly preferred or willingness to achieve said certifications within 2 years.
Experience: One - two years working in a medical staff office required.
Skills, Knowledge & Abilities: Knowledge of ECHO (Heathline Systems) credentialing software and associated applications strongly preferred.
Excellent interpersonal and communication skills
Ability to work under minimal supervision and to adapt quickly to changes within the environment Shift DAYS
About Lahey Health
At Lahey Hospital & Medical Center, as one of the world's premier health care organizations, we provide superior health care leading to the best possible outcome for every patient. We exceed our patients' high expectations for service each day. We also help advance medicine through research and the education of tomorrow's health care leaders
We care for our patients with compassion and openness, unsurpassed expertise, a drive for continuous learning improvement, and with respect, caring, teamwork, excellence and commitment to doing our personal best.
Join our team and our mission of excellence by applying today!
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