Medical Staff Credentialing Specialist, Sr. jobs in Pennsylvania

005044

005044

ESSENTIAL FUNCTIONS:

• Responsible for verifications for medical staff and/or allied health professionals#39; initial appointments, re-appointments, and privilege delineation.
• Maintains credentialing database by ensuring that information entered is both complete and accurate.
• Runs various reports regarding:
  1. Accuracy of provider data
  2. Application status.
• Provides ad hoc support to assist with the credentialing committeersquo;s approval, granting, and ultimately, release of privileges.
• Demonstrates willingness to be an active participant in process improvement initiatives and special projects to enhance credentialing procedures and outcomes.
• Communicate with internal and external customers to obtain or provide necessary information as it relates to verifications, malpractice claims, and any other pertinent information.
• Assists in compliance with accrediting and regulatory agencies (i.e., The Joint Commission) regarding credentialing by maintaining a working knowledge of statutes and laws.
• Acts as a liaison between hospital clinical departments, practitioner applicants, and other external parties.

ADDITIONAL QUALIFICATIONS:

• Demonstrates attention to detail in all aspects of work.
• Forward-thinking mindset to anticipate and address potential challenges or opportunities.
• Strong ability to think critically and problem-solve effectively.

JOB REQUIREMENTS:

• Bachelorrsquo;s degree in business, healthcare administration, human resource management, or other related field required.
• 2 years of prior credentialing experience preferred but not required.
• Certified Provider Credentialing Specialist (CPCS), or Certified Professional Medical Services Management (CPMSM) is preferred but not required.
• Knowledge of credentialing management software is preferred but not required.
• Knowledge of Microsoft Office required.

Jefferson includes Thomas Jefferson University and Jefferson Health, a dynamic university and health system with broad reach across the Delaware Valley. Jefferson is the second largest employer in Philadelphia and the largest health system in Philadelphia based on total licensed beds.

Through the merger of Thomas Jefferson University and Philadelphia University in 2017, our University includes ten colleges and four schools. We are an NCAA Division II university and an R2 national doctoral university offering undergraduate and graduate-level programs that provide students with a forward-thinking education in architecture, business, design, engineering, fashion and textiles, health, medicine and social science.

Jefferson Health, the clinical arm of Thomas Jefferson University, has grown from a three-hospital academic health center in 2015, to an 18-hospital health system through mergers and combinations that include hospitals at Abington Health, Aria Health, Kennedy Health, Magee Rehabilitation and Einstein Healthcare Network. We have over 50 outpatient and urgent care centers; ten Magnetreg;-designated hospitals (recognized by the ANCC for nursing excellence); the NCI-designated Sidney Kimmel Cancer Center (one of only 70 in the country and one of only two in the region); and one of the largest faculty-based telehealth networks in the country. In 2021, Jefferson Health became the sole owner of HealthPartners Plan, a not-for-profit health maintenance organization in Southeastern Pennsylvania. We are the first health system regionally to create an aligned payer-provider partnership.

Jeffersonrsquo;s mission, vision and values create an organization that attracts the best and the brightest students, faculty, staff, and healthcare professionals, as well as the most visionary leaders to drive exceptional results.

• OUR MISSION: We improve lives.
• OUR VISION: Reimagining health, education and discovery to create unparalleled value
• OUR VALUES: Put People First, Be Bold amp; Think Differently and Do the Right Thing

As an employer, Jeffersonmaintains a commitment to provide equal access to employment. Jefferson values diversity and encourages applications from women, members of minority groups, LGBTQ individuals, disabled individuals, and veterans.