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Credentialing Specialist Job
Job Number: RIH14452
Job Title: 40hrs/Days - Credentialing Specialist - Medical Staff Services
Department: Medical Staff Services - 1014113
Facility: Rhode Island Hospital
Location: Providence, RI
High School diploma; Associates Degree preferred.
Certification by the National Association of Medical Staff Services preferred.
Minimum of two years relevant experience in multi-entity credentialing environment or 3-5 years of related administrative/hospital experience.
Successful experience demonstrating the use of interpersonal skills necessary to communicate and gather information from all levels of personnel (e.g. physicians, administrative personnel and administrative leaders), and the ability to handle highly confidential data in secure and trustworthy manner.
Analytical and organizational skills.
Computer proficiency in common office software applications including word processing, spreadsheet and database applications.
Current knowledge of TJC requirements, CMS credentialing requirements, state regulations and credentialing processes.
Reports to Medical Staff Services Credentials Coordinator. Performs the day-to day credentialing and re-credentialing activities of the medical staff and advanced practice clinicians. Primary responsibility is the timely completion of credentialing and/or re-credentialing processes and the maintenance of comprehensive physician databases. Ensures consistency and compliance with regulatory and The Joint Commission (TJC) requirements, the hospital’s Medical Staff Bylaws, Rules and Regulations, procedures and time frames.