Medical Staff Credentialing Specialist processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Being a Medical Staff Credentialing Specialist loads and maintains provider information in an online credentialing database system. Tracks license and certification expirations for medical staff to ensure timely renewals. Additionally, Medical Staff Credentialing Specialist handles and resolves inquiries regarding credentialing information, process, or status. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor. The Medical Staff Credentialing Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Staff Credentialing Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
JOB DESCRIPTION: With assistance and oversight from senior team members, the Credentialing Specialist is responsible for coordinating, monitoring, and maintaining the credentialing and re-credentialing process for outpatient office providers and inpatient hospital providers. Works with administration to ensure interpretation and compliance with the appropriate accrediting while developing and maintaining a working knowledge of the statues and laws relating to credentialing.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Duties and responsibilities of the credentialing specialist are:
QUALIFICATIONS:
COMPETENCIES:
PHYSICAL DEMANDS:
Physical demands described are representative of those that must be routinely met by and employee to successfully perform the essential duties of this position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essentials duties.
POSITION TYPE/EXPECTED HOURS OF WORK:
This is a fulltime position. Hours 8am-4:30pm Monday-Friday.
WORK ENVIRONMENT:
This job operates in a corporate office environment.
WORKING CONDITIONS:
Working conditions described are representative of those that must be routinely met by and employee to successfully perform the essential duties of this position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential duties.
This position description is not intended to be a complete list of all responsibilities, duties or a skill required for the job and is subject to review and change in accordance with the needs of Ohio Valley Physicians Inc. and contractual obligations.
Our Mission
Centered in compassion and excellence, we serve to save lives while nurturing stronger and healthier communities for our persons served , employees, and families.
CORE VALUES:
Moral, Ethical and Behavioral Guidelines
Family: OVP Health is proud to be a family-owned company. We hold ourselves to the highest standards: the family values that are passed from generation to generation. However, at OVP Health we also believe that our coworkers, our persons served and our community are family. That means we will always treat you like family, no matter what health struggle you're facing.
Quality: In an ever-changing health care industry, our commitment to consistent, high-quality care has been the same since day one. Our highly trained physicians and nurses are constantly striving to provide the latest, most advanced care and treatment to persons served . Our medication-assisted treatment program is fully accredited by CARF (Commission on Accreditation of Rehabilitation Facilities). In everything we do, our goal is to provide persons served and their loved ones with the highest level of care possible.
Community: At OVP Health, we believe in giving back. And our commitment to improving the communities we serve doesn't stop at providing high-quality medical care. After work and on weekends, OVP Health employees can be found volunteering in the community, and we are proud to support a number of nonprofit groups in the areas we serve.
Integrity: Ethical, responsible health care is a nonnegotiable at OVP Health. We treat our coworkers, our persons served and our communities with honesty, truest and respect and hold ourselves to the highest standards of ethics and professionalism. Earning a patient's trust and loyalty is our greatest reward.
EEO STATEMENT
OVP Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, OVP Health complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfers ,leaves of absence, compensation and training.
OVP Health expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper inference with the ability of OVP Health employees to perform their job duties may result in discipline up to and including discharge.
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