Job Description

Townsen Memorial is hiring a Full-Time Credentialing Specialist at our Humble Location!
The Credentialing Specialist is responsible for leading, coordinating, monitoring, and maintaining the credentialing and re-credentialing process.

ESSENTIAL FUNCTIONS:

Compiles and maintains current and accurate data for all providers

Completes provider credentialing and re-credentialing applications monitors applications and follows-up as needed

Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers

Maintains corporate provider contract files

Maintains knowledge of current credentialing processes for al providers

Sets up and maintains provider information in online credentialing databases and systems

Tracks licenses and certification expirations for all providers to ensure timely renewals

Processes applications for appointment and reappointment of privileges to the facility

Maintains facility appointment files, and information in credentialing database

Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up

Ensures compliance with Medical Staff Bylaws, rules and regulations, policy and procedures

Assists with credentialing audits

Performs other related duties as assigned

KNOWLEDGE, SKILLS, AND ABILITIES:

Knowledge and understanding of credentialing process

Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources

Ability to organize and prioritize work and manage multiple priorities

Excellent attention to detail, verbal and written communication skills including letters, memos, and emails

Ability to maintain positive, constructive, collaborative, cooperative professional friendly and respectful working relationship with coworkers and supervisor

Ability to research and analyze data

Ability to work independently with minimal supervision

Ability to establish and maintain effective working relationships with providers, management, staff and contacts outside the organization

EDUCATION AND EXPERIENCE:

High school diploma or GED

Basic Life Support (BLS) certified or must be obtained within thirty (30) days of hire

Townsen Memorial Hospital is an accredited network of facilities with an emphasis on emergency care, outpatient surgery, and diagnostics and imaging. Our core mission is to provide compassionate, evidence-based patient care to those we serve. At Townsen Memorial we encompass diversity, dignity, and inclusiveness as a reflection of our core values. Townsen Memorial is committed to driving cutting edge healthcare to our patients, our communities and each other.