The role involves managing the credentialing and privileging process for medical staff, including primary source verification and database maintenance. The incumbent will also ensure compliance with regulatory standards such as CMS and the Joint Commission while supporting process improvement initiatives.
Requirements summary
Candidates must have a high school diploma and at least five years of experience in a healthcare environment. A CPCS or RHIT certification is required or must be obtained within four years of hire.
Astera Health is looking for a .6 FTE to join our team in Medical Staff Credentialing. This position is scheduled for 48 hours per bi-weekly pay period. Astera Health offers a comprehensive benefits package including health, dental, vision, life and retirement. We also support work-life balance through benefits such as paid time off, short and long-term disability and our employee wellness initiative.
Essential Duties
1.
Supports the mission of Astera Health through personal conduct and behaviors that contribute ideas and suggestions, is helpful and friendly, demonstrates regular attendance and punctuality, and adheres to organizational policies and rules.
2.
Be a role model of Astera Health culture and core values.
3.
Processes applications in a timely fashion, analyzes data, identifies red flags and items requiring further review/additional information.
4.
Maintains credentialing files in an orderly fashion.
5.
Maintains database for current status for licensure, DEA registration, certifications, and professional liability insurance for all privileged providers.
6.
Conducts thorough background investigation, research, and primary source verification of all components of the application file.
7.
Works collaboratively with other department managers, advanced practice providers and practitioners in the credentialing process.
8.
Responds to data requests.
9.
Utilizes resources effectively.
10.
Recommends and initiates ideas for process improvement.
11.
Accepts other duties as assigned.
12.
Appropriately interprets Joint Commission, CMS and other regulatory standards and applies this information to the credentialing and privileging process.
13.
Become a member of NAMSS (National Association of Medical Staff Services) and maintain good standing.
14.
Complete annual education requirements.
Core Competencies
1. Possess good judgement and problem-solving capabilities
Benefits
Health insurance
Dental insurance
Vision insurance
Retirement plan
Paid time off
Short-term disability
Long-term disability
Life insurance
Employee wellness initiative
1.
Ability to effectively operate standard office equipment and software 2.
Strong oral and written communication skills 3.
Demonstrates a high degree of commitment to customer service excellence 4.
Possess cross-cultural sensitivity 5.
Ability to work effectively with internal and external stakeholders, building strong relationships 6.
Ability to perform tasks both collaboratively and independently 7.
Demonstrates concern for patients of all ages, visitors, and co-workers.
8.
Maintains confidentiality of information and privacy compliance.
Required Qualifications
1. High school diploma with five years’ experience in the health care environment. 2. CPCS or RHIT certification; or ability to obtain within 4 years of hire. 3. Or combined years of relevant education and experience to perform the essential duties of this position.
Physical Requirements
Sedentary Duty
exerting up to 10 pounds of force occasionally or a negligible amount of force frequently to lift, carry, push, pull or otherwise move objects including the human body (based on U.S. Department of Labor data). The following physical activities are required to perform this job:
Occasionally (up to 33% of work time)
Standing, walking, reaching, lifting.
Frequently (34-66% of work time)
Sitting, handling, fingering, talking, hearing, near acuity vision.
Astera Health is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development.
