Overview
Credentialing Specialist I – Medical Staff Jobs in Tucson, AZ at Tucson Medical Center
Title: Credentialing Specialist I – Medical Staff
Company: Tucson Medical Center
Location: Tucson, AZ
Summary
Verifies medical training, experience and other attributes required of medical health care providers. Ensures the completion of files and monitors expired documents during the members’ appointment period.
Essential Functions
- Assists Credentialing Specialists and Leadership with the credentialing and recredentialing process.
- Reviews applications and other data for accuracy and completeness.
- Performs and collects primary source verification and other documents needed including follow-up activities of initial and reappointments applications.
- Enter credentialing and privileging data timely and accurately into the credentialing database.
- Ensures good working relationships with clinical departments, Medical Staff leadership and professional agencies.
- Assists in compliance with the accrediting and regulatory agencies regarding credentialing, while developing and maintaining a working knowledge of the required statutes and laws.
- Answers phones, assist with committee support, make copies, prepare mailings, and maintain files.
- Adheres to TMCH organizational and department-specific safety, confidentiality, values, policies, and standards.
- Performs related duties as assigned.
Minimum Qualifications
EDUCATION: High school diploma or general education degree (GED), or an equivalent combination of relevant education and experience.
EXPERIENCE :None required.One (1) year experience performing medical staff credentialing or similar related tasks preferred.
LICENSURE OR CERTIFICATION: None required.
Knowledge, Skills, And Abilities
- Knowledge and ability to understand what credentialing of medical health care providers entails.
- Knowledge and ability to understand, policy and procedures, regulations, statues, and laws as it relates to documents required for credentialing.
- Ability to organize and prioritize all assigned tasks and workloads in a busy work environment.
- Ability to brief leadership in a timely manner on status of workload, projects, priorities, barriers, or issues to ensure assignments are on track.
- Skill in the use of Microsoft Office products, especially Word and EXCEL.
- Ability to review and monitor various forms of detailed credentialing information to ensure compliance with departmental procedures.
- Ability to draft reports, business correspondence, and procedure manuals.
- Ability to respond professionally to departmental inquiries from internal or external customers in a timely manner. This includes understanding the escalation path for more complicated topics.
