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Verifies medical training, experience and other attributes required of medical health care providers. Ensures the completion of files and monitors expired documents during the members' appointment period
Assists Credentialing Specialists and Leadership with the credentialing and recredentialing process
Reviews applications and other data for accuracy and completeness
Performs and collects primary source verification and other documents needed including follow-up activities of initial and reappointments applications
Enter credentialing and privileging data timely and accurately into the credentialing database
Ensures good working relationships with clinical departments, Medical Staff leadership and professional agencies
Assists in compliance with the accrediting and regulatory agencies regarding credentialing, while developing and maintaining a working knowledge of the required statutes and laws
Answers phones, assist with committee support, make copies, prepare mailings, and maintain files
Adheres to TMCH organizational and department-specific safety, confidentiality, values, policies, and standards
Performs related duties as assigned
Requirements
High school diploma or general education degree (GED), or an equivalent combination of relevant education and experience
None required. One (1) year experience performing medical staff credentialing or similar related tasks preferred
None required
Knowledge and ability to understand what credentialing of medical health care providers entails
Knowledge and ability to understand, policy and procedures, regulations, statues, and laws as it relates to documents required for credentialing
Ability to organize and prioritize all assigned tasks and workloads in a busy work environment
Ability to brief leadership in a timely manner on status of workload, projects, priorities, barriers, or issues to ensure assignments are on track
Skill in the use of Microsoft Office products, especially Word and EXCEL
Ability to review and monitor various forms of detailed credentialing information to ensure compliance with departmental procedures
Ability to draft reports, business correspondence, and procedure manuals
Ability to respond professionally to departmental inquiries from internal or external customers in a timely manner. This includes understanding the escalation path for more complicated topics