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Medical Staff Credentialing Specialist (Credentialing/Alberta)
Position Description
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.
Requisition ID
37674BR
Work Location
El Paso
Org Level 1
Texas Tech Unv Hlth Sci Ctr El Paso
Campus
HSC - El Paso
Department
Credentialing Office Elp
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 URAC 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
Ensures a timely and accurate preparation of the FPPE evaluation for providers that requested new and additional privileges
May attend, take minutes and participate in Credentials Committee meeting as directed
Maintains confidentiality of all business/work and medical staff information
Assists the Credentialing Services Managing Director and Manager in ensuring compliance with relevant Joint Commission Standards
Participates in regulatory survey preparation as well as the actual survey
Participates in the development and implementation of credentialing policy and procedures
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
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
Preferred Qualifications
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 (i.e., Joint Commission, NCQA, URAC, etc.)
Demonstrated understanding on initial credentialing and re-credentialing practices for medical professionals including primary source verification methods, and compliance monitoring
EEO Statement
As an EEO/AA employer, the Texas Tech University System and its components will not discriminate in our employment practices based on an applicant’s race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information or status as a protected veteran.
Jeanne Clery Act
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx
Does this position work in a research laboratory?
No
Required Attachments
Cover Letter, Resume / CV
Job Type
Full Time
Pay Basis
Hourly
Minimum Hire Rate
Compensation is commensurate upon the qualifications
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.
Travel Required
Up to 25%
Shift
Day
Schedule Details
M - F , 8 am to 5 pm
Grant Funded?
No
Job Group
Office and Admn Wkrs All Other
Job Expires
07/10/2024