Credentialing Analyst

6 days left

Location
Washington, District of Columbia-Washington
Posted
Nov 05, 2020
Closes
Dec 10, 2020
Ref
200001XW
Function
Nurse
Industry
Healthcare
Hours
Full Time
Perform all medical and academic credentialing and re-credentialing for physicians and allied health care professionals. Responsible for assisting
manager in day to day operations.

Qualifications

Minimum Education
Bachelor

Minimum Work Experience
3 years

Specific Requirements and Preferences
physician credentialing (medical and academic) experience required. Experience with MedStaff Line or equivalent software, including ability to produce detailed reports (Required)

Required Skills/Knowledge
Excellent written and verbal communication skills required.
Knowledge of JCAHO and other regulatory requirements as they apply to credentialing required.
Ability to focus on detail and process with minimal supervision.
Strong organizational skills and ability to multitask is a must.
Knowledge of Microsoft office products is a plus.

Functional Accountabilities

Credential Activities
1. Mediacl staff initial and re-appointments.
2. Interim and one-time appointments; temporary (Patient specific privileges).
3. Trainee appointments.
4. Academic appointments.
5. PHD, Dentists, Allied Health Professional appointments and re-appointments.
6. All documents filed timely and accurately.

Paper Enrollments for Medicare, Medicaids, Carefirst
1. Prepare applications.
2. Obtain signatures and hold for receipt of all documents.
3. Submit applications and send copy to Business Operations.
4. Respond to payors for any follow up documentation

Credential Reviews
1. Pull requested files for review.
2. Attend reviews as appropriate, note recommendations.

Correspondence
1. Letters of appointment or reappointment.
2. Letter in regard to change of status.
3. Communicate with providers in regard to expiring documents.

Safety
1. Speak up when team members appear to exhibit unsafe behavior or performance
2. Continuously validate and verify information needed for decision making or documentation
3. Stop in the face of uncertainty and takes time to resolve the situation
4. Demonstrate accurate, clear and timely verbal and written communication
5. Actively promote safety for patients, families, visitors and co-workers
6. Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Organizational Accountabilities
Support
1. Provide support in daily operations of unit.

Organizational Commitment/Identification
1. Partner in the mission and upholds the core principles of the organization
2. Committed to diversity and recognizes value of cultural ethnic differences
3. Demonstrate personal and professional integrity
4. Maintain confidentiality at all times

Customer Service
1. Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication
1. Demonstrate collaborative and respectful behavior
2. Partner with all team members to achieve goals
3. Receptive to others' ideas and opinions

Performance Improvement/Problem-solving
1. Contribute to a positive work environment
2. Demonstrate flexibility and willingness to change
3. Identify opportunities to improve clinical and administrative processes
4. Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility
1. Use resources efficiently
2. Search for less costly ways of doing things

Organizational Accountabilities (Staff)
Organizational Commitment/Identification
1. Anticipate and responds to customer needs; follows up until needs are met
Teamwork/Communication 1. Demonstrate collaborative and respectful behavior
2. Partner with all team members to achieve goals
3. Receptive to others' ideas and opinions
Performance Improvement/Problem-solving 1. Contribute to a positive work environment
2. Demonstrate flexibility and willingness to change
3. Identify opportunities to improve clinical and administrative processes
4. Make appropriate decisions, using sound judgment
Cost Management/Financial Responsibility 1. Use resources efficiently
2. Search for less costly ways of doing things
Safety 1. Speak up when team members appear to exhibit unsafe behavior or performance
2. Continuously validate and verify information needed for decision making or documentation
3. Stop in the face of uncertainty and takes time to resolve the situation
4. Demonstrate accurate, clear and timely verbal and written communication
5. Actively promote safety for patients, families, visitors and co-workers
6. Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Children's National Health System is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law.

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