Danville, KY, 40423, USA
1 day ago
Credentialing Specialist
Description 1.Ensures credentialing processes are completed on time and in compliance with the guidelines of regulatory agencies, including Kentucky Board of Medical Licensure, Nursing Board and other State licensure, The Joint Commission (TJC/JCAHO) and, National Committee for Quality Assurance (NCQA). 2. Closely monitors information collection and follows up to obtain missing documents. 3. Ensures confidential credentials files are orderly and current with all required and received information and will follow up with LIPs to obtain renewal information, including but not limited to licensure, malpractice insurance, DEA, flu, TB, registration/certification and other time limited documents. 4. Performs general office and secretarial work within the normal operation of the Department. This includes checking mail daily and distributing, checking and stamping in all applications. Filing and boxing up credentialing files to take to storage. Ordering supplies and binders. 5. Maintains database of physicians and allied health which includes demographic information, privileges granted, department and committee appointments/attendance, continuing medical education activities, credentialing and other related information. 6. Maintains resignation logs and completes process of physician resignations within the medical staff office. 7. Processes requests for applications, sends Pre-Application form and maintains record of applications sent. 8. Assists in the processing of new applications and reappointment applications per standing Medical Staff Services protocol and Medical Staff and Organizational policies and procedures including entering new providers into the Meditech Provider Dictionary. 9. Maintains personal adherence to professional confidentiality standards established within the Department and in accordance with legal, ethical and Organizational policies. 10. Assures data security and confidentiality of all files by securing appropriate file areas, cabinets, drawers and computer terminals. 11. Coordinates all physician orientations with assistance from medical staff Associates. 12. Maintains record of physician dues, follows up when dues are delinquent and/or ready for processing. Emails all physicians on yearly dues and process dues into medical staff physician dues account. 13. Able to assist with reports as requested through the designated medical staff credentialing software. 14. Coordinates yearly credentialing audits with contracted health insurance entities to come and review credentialing files, policies, procedures and minutes for the Cooperative Care Network. 15. Assists with supporting and processing the Organized Medical Staff’s business matters, including agenda and meeting package preparation, meeting attendance, and the taking and transcribing of meeting minutes. Will Attends any and all aforesaid meetings as needed and/or in the absence of the Director or specialist and takes minutes, transcribes into acceptable organization format and distributes within 3 working days. 16. Schedule room, audio visuals, room layouts, and catering request for all aforementioned meetings 17. Completes all activities involved in preparation of reports, minutes, polices, bylaws, rules and regulations, procedures and correspondence to facilitate department operations. 18. Answers telephone calls and directs to the correct location/department. Answers phones and takes complete and accurate messages and logs for anyone in the office who is away from their desk. Checks routinely the automated phone line for outside business calls. 19. Orders office supplies as need to keep an inventory for use. 20. Responsible for coordinating mailboxes in the medical staff physician lounge. 21. Makes conference/seminar registrations, airlines, hotels, and rental car reservations when requested. 2 22. Coordinates and schedules appointments for the Director as needed for medical staff/physician business matters. 23. Demonstrates a commitment to professional accountability and growth to maintain and expand knowledge and skills. 24. Resource for Medical Staff projects. 25. Demonstrates a commitment to professional accountability and growth to maintain and expand knowledge and skills. 26. Contributes to the achievement of the mission, vision, and values of the Organization. 27. Contributes to the effective operations of the Organization by demonstrating dependability in job performance. 28. Demonstrates a commitment to incorporating the core concepts of patient family centered care into practice (dignity, respect, information sharing, and participation). 29. Demonstrates a commitment to the development and implementation of shared governance across the Organization. 30. Performs other related duties assigned in a willing and cooperative manner. Skills accounts receivable, Collections, Customer Service, eligibility verification Top Skills Details accounts receivable,Collections,Customer Service,eligibility verification Additional Skills & Qualifications Must understand Kentucky credentialing processes, payer contracts, and strict 30-day credentialing turnarounds. Preferably hospital credentialing experience, working with physicians and mid-level staff; experience with all medical staff credentialing is important. Experience with fluctuating workload (2–20 initial credentials per month; 30 reappointments max). Danville KY 3 days on site 2 days remote Experience Level Entry Level Pay and Benefits The pay range for this position is $19.00 - $25.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a hybrid position in Danville,KY. Application Deadline This position is anticipated to close on Aug 2, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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