Wilmington, DE
Flushing, New York
Morristown, New Jersey
Oceanside, CA
Near Raleigh, North Carolina
Rockaway, New Jersey
Essex County, Massachusetts
Posted: 19-Nov-24
Location: Temple, Texas
Salary: Open
Categories:
Internal Number: 24014853
JOB SUMMARY
HYBRID - Temple, TX (will travel onsite at least once per month)
Accountable for the computerized operations of the centralized credentials verification system by managing all components of the medical staff database, including data entry, creating reports, and maintaining software. Serves as team member in coordinating medical staff and allied health professional initial appointments and reappointments. Tracks the flow of credentialing information throughout the Baylor Scott & White Health Plan and delegate credentialing entities (Credentialing Verification Organization).
ESSENTIAL FUNCTIONS OF THE ROLE
- Learn and utilize the system credentialing database
- Utilizes software functions to convert documents to preferred electronic format (PDF).
- Executes initial appointment and re-appointment application under departmental policy
- Receives applications and enters data into the credentialing database.
- Maintains records of all changes to practitioner status and demographics and communicates to appropriate departments.
- Plans and develops helping documentation (agendas, minutes, reports for Credentials Committee and others as assigned.
- Monitors time-limited documents to assure continuous currency
- Follows departmental expiring document policy to assure proper notification to practitioners of impending expirations.
- Accesses primary verification sources to document renewed licenses and certifications, enters renewals into database and files hard copy in credentials file.
- Prepares scheduled and ad hoc reports for both internal and external customers according to established timelines and distribution lists.
- Maintains current knowledge of the joint commission, OIG, TAHP, TDI, and NCQA Standards
- Regularly participates in learning opportunities to remain current in the credentialing industry.
- Maintains organized spreadsheet of individual pending work items for metric reporting to leadership.
- Perform other position duties as required
KEY SUCCESS FACTORS
- Commitment to continuous learning and keeping abreast in the Medical Staff Services industry.
- Experience in database management.
- Exceptional organizational skills, independent work management skills, and proficiency in working with computerized databases required.
- Communication skills verbally and in writing to obtain necessary information needed for application processing.
BENEFITS
Our competitive benefits package includes the following
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based on position type and/or level
QUALIFICATIONS
- EDUCATION - H.S. Diploma/GED Equivalent
- EXPERIENCE - 2 Years of Experience
