Credentialing Specialist in Noblesville, IN at Riverview Health

Date Posted: 5/11/2022

Job Snapshot

Job Description

Status: Full time

Hours: Monday -Friday, 7:30am-4:00pm

At Riverview Health, we focus on improving the healthcare experience for those we serve, including our employees. Although Riverview Health is Noblesville’s largest employer and one of Hamilton County’s ten largest employers with a staff of more than 1,300, we provide a close-knit work environment where everyone feels like an invaluable member of the team. We do this by creating a culture that’s supportive, positive and empowering.

The Credentialing Specialist in the Medical Staff Office is responsible for coordinating the credentialing process to ensure that privileged healthcare providers are properly trained, licensed and certified as mandated by state and federal regulations. The Credentialing Specialist reviews applications, verifies education and training, maintains a database of new and existing providers and assists with onboarding needs.

JOB DUTIES AND RESPONSIBILITIES

  • Process applications for appointment and reappointment for the Medical Staff and Non-Physician Practitioner Staff.
  • Identify issues that require additional investigation and evaluation, validates discrepancies and ensure appropriate follow-up and documentation for further review and/or decision making.
  • Maintain compliance of expiring items such as licenses, ACLS/BLS certifications, malpractice coverage, TB testing, etc.
  • Respond to inquiries from other healthcare organizations according to established timelines and appropriate release of information per organizational policy and regulatory requirements.
  • Assist with credentialing audits and may assist to conduct internal file audits.
  • Provide ongoing updates, regarding the status of provider credentialing file completion, to relevant parties within timelines and expectations of organizational procedures.
  • Assist in planning and organizing of medical staff meetings including creating meeting agendas and taking minutes.
  • Cover functions of the Medical Staff Office as directed by the Medical Staff Office Manager.
  • Other duties as assigned.

Job Requirements

Education Requirements:

  • Minimum: High School Diploma
  • Preferred: Bachelor’s Degree

Experience Requirements

  • Minimum: Three (3) years of relevant experience providing administrative support for onboarding and background checking.
  • Preferred: Three (3) years medical staff credentialing

Certification / License Requirements

  • Minimum:  None
  • Preferred: Certified Provider Credentialing Specialist (CPCS) or Certified Professional in Medical Services Management (CPMSM) from the National Association of Medical Staff Services (NAMSS)