Medical Staff Credentialing Manager jobs in Massachusetts

Tufts Medicine Lowell General Hospital is seeking an experienced Per DiemCredentialing Specialist.

Hours: Per Diem. Weekdays as needed. Preferred days include Tuesday-Thursday between the hours of 7am-5pm availability.

Location: Remote

Job Overview

This position provides administrative and credentialing support for the hospital. Assists with all medical staff requirements and maintains records and systems that result in efficient program operation. Supports the credentialing process, including the processing of new applications, requests for temporary privileges, and reappointments.

Job Description

Minimum Qualifications:

1. High school diploma or equivalent.

2. Two (2) years of credentialing and privileging or provider enrollment experience in a hospital setting OR Four (4) years of experience in a Credentials Verification Organization (CVO).

Preferred Qualifications:

1. Certified Professional Medical Services Management (CPMSM).

2. Certified Provider Credentialing Specialist (CPCS).

Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.

1. Coordinates the credentialing and/or privileging process for medical staff including (but not limited to) appointments, reappointments and changes in privileges.

2. Verifies competence, medical and/or professional education, residency, internships, fellowships, additional formal training, relevant board certifications, health care affiliations, work history, military experiences, professional references, licensure and certifications, DEA certificates, malpractice coverage and privileges the applicant is requesting.

3. Queries the National Practitioner Data Bank as appropriate.

4. Manages expiring documents as appropriate.

5. Maintains the credentialing database assuring accuracy and completeness.

6. Acts as a liaison between the medical staff and other departments of the hospital and provides assistance in the coordination of the duties of the medical staff.

7. Presents completed files to the Database Manager/Project Specialist for review and disposition.

8. Develops sound understanding of MD Staff database data entry and reporting procedures.

9. Inputs information and conducts audits of the information to ensure its completeness and accuracy.

10. Demonstrates comprehensive understanding of privileging database and maintains provider privileges as appropriate.

11. Independently prepares electronic packets for Credentials Committee as requested.

12. Maintains a working knowledge of the Medical Staff Bylaws and applicable Hospital policies to ensure the medical staff's compliance with stated parameters.

13. Assists with the PPE process, including both Focused and Ongoing PPE's.

What We Offer:

Not only is Lowell General Hospital an exceptional place to work, offering a culture of recognizing and valuing employees, we provide amazing opportunities for our staff:

• Competitive salaries & benefits

• 403(b) retirement plan with hospitalmatch

• Opportunities for growth

• Tuition reimbursement

• Free on-campus parking

About Lowell General

For more than 125 years, Lowell General has served the Greater Lowell community with pride. We balance the first-rate care of a premier medical center with the warmth of a three-time Magnet-recognized community hospital. As a member of our team, you'll join over 3,000 dedicated care providers to offer complete, connected care, when and where patients need it most.

Tufts MedicineLowell General Hospitalis an Equal Opportunity Employer.