Credentialing Specialist - Full Time

Job Details

Responsible for all aspects of credentialing and recredentialing activities for physicians requesting membership and medical staff privileges at Jefferson Einstein Philadelphia, in accordance with Policies and Procedures to assure the credentialing program’s integrity and expectation as defined in the Bylaws and
Rules/Regulations of the Medical Staff. Also is responsible for privileging of Allied Health Professionals.

Job Description

Essential Functions

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Performs initial appointments and reappointments
• Processes all primary source verifications

• Sends completed files to Department for review and signature

• Maintain credentialing database

• Commicate with provider and department to provider necessary information

• Provider suuport for all credentialing and medical staff operations including responding to phone calls and emails, assisting with FPPE process, regulatory audits

• Maintain working knowledge of Medical Staff Bylaws; Rules & Regs

Competencies (Knowledge, Skills, and Abilities Required):

• Demonstrates attention to detail
• Critical thinking and problem solving
• Computer experience and database knowledge

Minimum Education and Experience Requirements:

Education:

• High School Diploma/GED minimum

AND

Experience:

• 3-5 years credentialing experience preferred.

Minimum Certifications, Registration or License Requirements:

• Certified Provider Credentialing Specialist (CPCS) preferred but not required.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Albert Einstein Medical Center

Primary Location Address

5501 Old York Road, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educa­tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

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