Medical Staff Credentialing Specialist, Sr. jobs in Massachusetts

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Job Type:

Scheduled Hours:

Work Shift:

Job Description:

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.

Minimum 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.

FLSA Status:

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled