Job Summary:
The Credentialing Specialist is responsible for providing administrative support for the process of privileging and credentialing the medical staff at Westchester Medical Center. Performing primary source verification and ensuring that all physicians, residents, fellows, dentists, and allied health professionals are clinically qualified for the privileges applied for are major responsibilities of this position. Work is performed in compliance with detailed requirements, guidelines, and deadlines of Centers for Medicare & Medicaid Services, National Committee for Quality Assurance (NCQA), Westchester County Health Care Corporation Board of Directors, accrediting organizations and regulatory agencies. Does related work as required.
Responsibilities:
Experience:
Five years of experience where the primary function of the position was medical staff credentialing.
Education:
High school or equivalency diploma
Licenses / Certifications:
Other:
Good knowledge of medical staff credentialing processes, procedures and resources; good knowledge of requirements of various organizations which affect the credentialing process such as CMS, NCQA, New York State Education Department, and New York State Department of Health; good knowledge of the requirements of Westchester Medical Center By Laws and policies regarding credentialing and privileging standards for the various clinical departments and sections; good knowledge of medical terminology; ability to assemble and organize data; ability to determine priorities and meet deadlines; ability to effectively use computer applications such as spreadsheets, word processing, calendar, e-mail and database software in performing work assignments; ability to communicate effectively both orally and in writing; ability to establish and maintain effective working relationships with professional medical, technical, managerial, clerical and non-skilled personnel; attention to detail; sound and mature judgment; flexibility.
About Us:
NorthEast Provider Solutions Inc.
Benefits:
We offer a comprehensive compensation and benefits package that includes:
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