Atlantic Health System

Credentialing Specialist - Medical Services Admin

Job Location(s) US-NJ-Morristown
Position Type
Full-Time
Shift
8:00am - 4:00pm
Category
Clerical/Office
Department
01812100- Medical Services Administration
Facility
Morristown Medical Center

Overview

Atlantic Health System is seeking a full-time Credentialing Specialist to work at Morristown Medical Center in Morristown NJ, primarily working 8:00am - 4:00pm. No weekends.

Responsibilities

Essential Job Function:

  • Enforce regulatory compliance and quality assurance
  • Prepare and maintain reports of credentialing activities such as accreditation, membership or facility privileges
  • Ensure that all information meets legal, federal and state guidelines when processing applications
  • Responsible for carrying out various credentialing processes in relation to physicians and allied health practitioners
  • Process applications for initials applicants as well as reappointments (approximately 125-200 quarterly)
  • Collect and process significant amounts of verification and accreditation information
  • Maintain and update accurate information in the Echo database (includes education, training, experience, licensure)
  • Prepare material for Credentials Committee meeting, MEC as well as Board of Trustees meeting
  • Sets up and maintains provider information in Echo
  • Maintains confidentiality of provider information
  • Ensure compliance with the Bylaws at each location as it pertains to the credentialing process
  • Schedule, and on occasion attend and take minutes for site based medical staff department meetings
  • Process and collect dues for the site based medical staff
  • Compiles and maintains current and accurate data for all providers
  • Sets up and maintains provider information in online credentialing database
  • Tracks license and certification expirations for all providers
  • Maintains confidentiality of provider information
  • All other duties as assigned

Qualifications

Education:

  • High School Diploma or GED required
  • 1-3 years credentialing experience, preferably in a managed care setting, preferred
  • Associate degree or Certified Provider Credentialing Specialist (CPCS) certified preferred

 

Relevant Experience:

  • Knowledge of the credentialing process preferred
  • Ability to organize and prioritize work and manage multiple priorities
  • Excellent verbal and written communication skills
  • Ability to research and analyze data
  • Ability to work independently
  • Ability to establish and maintain effective working relationships
  • Excellent computer skills

About Us

Atlantic Health System aims to deliver the highest quality, safety and care combined the best experience for our patients and their families. We are confident that you will find success within Atlantic Health System, which has been named for the 13th year in a row to Fortune’s “Top 100 Best U.S. Companies to Work For” list. We believe you will find that our culture of collaboration and care exemplifies the value we place on our patients, their families and our employees.

EEO Statement

Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.

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