Credentialing Assistant

Credentialing Assistant

Requirements

• High School diploma or equivalent
• 2 years of experience in office setting
• Basic knowledge of office equipment and word processing software, including MS office products
• Must be able to multi-task, be detail-oriented, organized, and have strong oral and written communication skills
• Proficiency with computer and common office equipment as well as with MS Office products required
• Excellent oral and written communications skills, strong analytical and problem solving skills, and have the ability to thrive and multi-task in a dynamic, fast-paced environment
• Must possess a strong attention to detail and the ability to maintain confidential information
• Must have the ability to effectively elicit/provide information to and from appropriate individuals (including but not limited to Supervisors, Directors, Co-Workers)

Responsibilities

• Ensures applications and documentation are complete when presented to Credentialing Specialists.
• Contacts healthcare professionals, licensing agencies, and insurance carriers as necessary to obtain documents needed to complete a credentials file.
• Tracks documents and facility rosters as requested.
• Assists in maintaining the database of healthcare professionals’ credentials files.
• Works closely with Credentialing Specialists when compiling and monitoring professional practice data.
• Maintains privacy and confidentiality of all credentialing information and Credentialing Committee meetings.
• Organizes, plans, and manages time effectively to complete assignments.
• Monitors files to ensure completeness and accuracy.
• Works under the supervision of a Credentialing Specialist or Credentialing Manager.
• Other duties as assigned.
• Demonstrates commitment to providing superior customer experiences to healthcare professionals, customers and referral sources with a service-oriented attitude in accordance with principles of comfort, professionalism and respect.
• Demonstrates commitment to improve quality and safety through training, education, communication, collaboration, innovation and execution.
• Demonstrates inspiration, enthusiasm, energy, motivation and direction to achieve success.
• May lead or participate in interdepartmental project groups or task forces to integrate activities, communicate issues, obtain approvals, resolve problems and maintain specific level of knowledge pertaining to new developments, new task efforts, contract awards, and new policy requirements.
• Performs duties in a safe manner. Follows the corporate safety policy. Participates and supports safety meetings, training and goals. Ensures safe operating conditions within area of responsibility. Encourages co-workers to work safely. Identifies ‘close calls’ and/or safety concerns to supervisory personnel. Maintains a clean and orderly work area.
• Assists in active implementation of company initiatives to ensure compliance with OSHA VPP, ISO, TJC, AAAHC, NCQA and other mandated regulations/standards.

Preferred Qualifications

• Prior experience in healthcare