OB TITLE:       CREDENTAILING SPECIALIST – ADMINISTRATIVE ASSISTANT

REPORTS TO:  CHIEF HUMAN RESOURCE OFFICER

1. JOB SUMMARY / OVERVIEW

Provides professional and administrative support services. Performs the credentialing processes for all initial applications and reappointments of clinical staff in a timely and complete manner.

1. PRIMARY DUTIES

Every effort has been made to include all duties; however, the omission of a specific statement of duties does not exclude the duty from the position if the work is similar, related or is a logical assignment of the position.

• Schedule board meetings; create zoom meeting; compile and send monthly board packets including agenda.
• Record and type board meeting minutes.
• maintain systemic means of tracking board members terms, election of officers, approval and disapproval of policies, and compliance with board composition.
• Process and maintain accurate, complete and up-to-date credentialing folders to ensure compliance with quality standards, FQHC and FTCA compliance.
• Perform relevant data entry into the database to ensure consistency and integrity of the data.
• Work independently utilizing the pre-established guidelines, policies, rules and regulations to ensure all accreditation requirements and standards, state and federal requirements are maintained.
• Complete the processes to enroll and credential providers (e.g., physicians, facilities, physician assistants, nurse practitioners, etc.) with insurances, while meeting payor criteria.
• Oversees, updates, and maintains provider credential database including CAQH, PECOS, NPPES Registry, or other applicable regulatory agencies
• Communicate with clinical staff to obtain missing or incomplete information.
• Review the Health Center Compliance manual and program assistance letters to ensure compliance.
• Arrange meals for meetings and special functions.
• Carry out special projects as assigned.
• Maintain key log.
• Schedule auditorium to outside organizations following the policy guidelines.
• Scan documents for Human Resources.
• Create and maintain events, attendance logs and documentation in learning management system (CareLearning).
• Perform other duties as assigned.

• EDUCATION / QUALIFICATIONS
  • Experience in credentialing within a healthcare setting is preferred.
  • Excellent composition and grammar skills are required.

1. EXPERIENCE / KNOWLEDGE / SKILLS

• Must have working knowledge of general office procedures and office equipment.
• Demonstrate ability to complete work assignments in a timely manner.
• Demonstrate attention to detail.
• Ability to prioritize and manage work load.
• Proficient in Microsoft Office Suite and proprietary database applications.
• Self–motivated, self-disciplined and able to function independently.
• Able to positively represent PSHC to the public and business contacts.
• Ability to deal effectively, in a positive manner, with a variety of people by telephone and in person, maintaining a composed and courteous demeanor.
• Ability to multi-task and manage priorities and meet critical deadlines.
• High level of awareness of pertinent details; excellent organizational skills.