Job Description

Medical Staff Credentialing Specialist

Responsible for all aspects of the credentialing, re-credentialing, and privileging processes for all medical staff members who provide patient care, treatment, and service at TTUHSC El Paso.

Travel Required: Up to 25%

Major/Essential Functions:

• Ensures compliance with TTUHSC El Paso Medical Staff Bylaws, Rules and Regulations and other accrediting and regulatory agencies such as the Joint Commission, NCQA and DNV
• Coordinates in the credentialing process for the medical staff, allied health professionals and temporary privileges
• Enters accurate and up to date data of new providers into the credentialing database to include but not limited to demographic and personal information, education/training, licensure, DEA, liability information, board certification status, NPI numbers, ECFMG certifications, etc.
• Ensures credentialing file is complete and accurately verified along with all required documentation prior to view of the Credentialing Committee
• Ensures that all expired credentials are reviewed, obtained, and managed on a timely basis according to the credentialing policy and procedures
• Maintains confidentiality of all business/work and medical staff information
• Assists the Credentialing Services Managing Director and Manager in ensuring compliance with relevant Delegation
• Participates in regulatory survey preparation as well as the actual survey
• Participates in the development and implementation of credentialing policy and procedures
• Remains current with all licensure, certifications and mandatory compliances and trainings required of this position
• Adhere to all TTUHSCEP policies, procedures and processes
• Personally demonstrate, display and act in accordance with TTUHSC EP's Values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork). Serve as a Value's leader while actively promoting and encouraging staff across the institution
• Perform all other duties as assigned

Grant Funded?: No

Minimum Hire Rate: Compensation is commensurate upon the qualifications

Pay Basis: Hourly

Schedule Details: M - F, 8 am to 5 pm

Work Location: El Paso

Preferred Qualifications:

• Three years of Credentialing experience in a managed care plan, medical staff services office or credentialing verification office.
• Strong analytical skills with the ability to assess compliance, record, analyze, and interpret data into meaningful formats.
• Demonstrated ability to effectively communicate (orally and written) while also displaying excellent interpersonal skills.
• Bachelor's degree desired.
• Demonstrated understanding of credentialing accreditation standards.
• Demonstrated understanding on initial credentialing and re-credentialing practices for medical professionals including primary source verification methods, and compliance monitoring.

Campus: HSC - El Paso

Department: Paul L Foster SOM Admin Elp

Required Attachments: Resume / CV, Transcript

Job Type: Full Time

Pay Statement: Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage.

Job Group: Office and Admn Wkrs All Other

Shift: Day

EEO Statement: All qualified applicants will be considered for employment without regard to sex, race, color, national origin, religion, age, disability, protected veteran status, or genetic information.

Required Qualifications:

• Associate's degree from an accredited college or university or an equivalent combination of education and experience is required
• Three years of Credentialing experience in a managed care plan, medical staff services office or credentialing verification office

Does this position work in a research laboratory?: No

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