Credentialing Specialist - Per Diem

Position Summary

Under the supervision of the Director Medical/House Staff Services Department, the Credentialing Specialist processes credentialing and re-credentialing applications of health care providers appointed through the Medical Board and Governing Body, reviews applications, prepares verification letters and maintains database. Duties of a Credentialing Specialist may include the following but are not limited to: Process the credentialing and re-credentialing applications of physicians and allied health providers (psychologists, podiatrists, speech and language therapists, physician assistants, audiologists, optometrists, nurse midwives, nurse practitioners, and nurse anesthetists) in accordance with the medical staff and medical board policies, bylaws rules and regulations, Department of Health, JCAHO and NCQA regulations. Analyze applications for accuracy and completion. Communicate with applicant and department liaisons for information to complete application processing. Responsible for inputting and maintaining accurate and timely data into the Medical Staff and various hospital wide databases. Responsible for creating reports, applications and documents from the Medical Staff database. Responsible for tracking expirations and updating licenses/certifications/activities required of the medical/allied staff while adhering to very stringent deadlines. Responding to and requesting verifications from outside sources as per NYS DOH regulations and medical staff policy. Other duties as assigned. This is a temporary position that may end at any time.

Qualifications

Required Qualifications: Associate’s degree and at least 3 years of administrative experience or, in lieu of a degree, at least 5 years of administrative experience. Computer skills that include Microsoft Word and Microsoft Excel. Database Experience. Detail oriented and excellent organizational skills. Ability to work in a very busy office with constant interruptions.

Preferred Qualifications

• Experience using a medical staff database, preferably Symplr. Knowledge of JC, DOH & NCQA regulations as it pertains to medical staff credentialing. Experience performing medical staff credentialing, preferably for a hospital. CPCS or CPMSM Certification. Please Note: Verification of degree (e.g., diploma or official transcript) is required for this role. Upload of documentation must be included with your application for consideration. Special Notes: Resume/CV should be included with the online application. Posting Overview: This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date). If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date. ______________________________________________________________________________________________________________________________________ Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises. All Hospital positions may be subject to changes in pass days and shifts as necessary. This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair. This function/position maybe designated as “essential.” This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities. Prior to start date, the selected candidate must meet the following requirements: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services