University of Rochester

University of Rochester logo

Job Information

University of Rochester Credentialing Support Specialist - 215845 in Rochester, New York

Credentialing Support Specialist

Job ID

215845

Location

Medical Faculty Group

Full/Part Time

Full-Time

Favorite Job

Regular/Temporary

Regular

Opening

Full Time 40 hours Grade 009 URMC Medical Staff Services

Schedule

8:30 AM-5 PM

Responsibilities

Position Summary:

The Credentials Support Specialist (CSS) serves as a Medical Staff Services Professional responsible for the administrative duties required in the credentialing process for the initial and re-appointment applicants of the Allied Professional or Medical Staff of the University of Rochester’s affiliated hospitals and/or the clients of the of the University’s Centralized Verification Organization. The applicants include various types of healthcare practitioners including but not limited to physicians, dentists, physician assistants, and nurse practitioners.

The CSS enters and maintains specialized applicant information into a complex credentialing software database and obtains information related to the practitioner’s credentials and background. The CVS is also responsible for the accuracy and integrity of the credentialing database system and related applications.

The CVS ensures compliance with regulatory agencies including but not limited to, The Joint Commission, NCQA, CMS, Federal and State, applicable Medical Staff Bylaws, Rules and Regulations, Policies and Procedures, and delegated contracts and/or other contracts as applicable.

Responsibilities:

  • General Administrative support to the Department

  • Answer the main phone line for the department and direct callers as appropriate.

  • Process incoming and outgoing mail, faxes, and courier service.

  • Respond to requests for retrieving files from storage.

  • Serves as a Liaison for the Medical Staff Services Department

  • Process the requests of the departments to initiate a medical or allied professional staff application and launches electronic applications to applicants as applicable.

  • Collaborate with practitioners, departments and staff to collect and verify information to appropriately update practitioner profile data in the credentialing software program when applicable.

  • Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise.

  • Communicates the status of the files or other credentialing information directly to providers and various department representatives and/or outside organizations, clients or affiliates and coordinates efforts as applicable.

  • Utilizes the credentialing software database to track and monitor information related to Medical and Professional Allied Staff Credential Files

  • Monitor and update staff status of appointments and privileges.

  • Link electronic Delineation of Privileges to practitioner files, and release privileges into the online database.

  • Processes requests for moonlighting applications and privileges when applicable, ensuring compliance with criteria outlined in clinical privilege descriptions.

  • Actively Participate Monthly Credentials Privilege and Review Committee Process

  • Prepare the applicant credentials files for presentation to the Credentials Privilege and Review Committee.

  • Prepare meeting agendas and minutes for presentation to Health System Entity Medical Staff Committees, and Hospital Boards.

  • Prepare board letters and special mailings as applicable and communicate the outcome to practitioners, and department’s representatives as applicable.

  • Performs various functions related to ongoing monitoring and tracking of credentials of the organization’s Medical staff, Allied Health Professional staff, and other Health Professional staff as delegated by outside clients for credentials

  • State license, DEA and sanction information.

  • Time limited requirements for Medical and Allied staff (e.g. Health and PPD status, sedation training, BLS, ACLS), etc.

  • Prepares and provides monthly status reports to departments, co-workers, leadership and clients regarding the status of ongoing monitoring and time limited requirements.

  • Performs miscellaneous administrative related duties as assigned.

Qualifications:

Education: 2 years of post high school education in secretarial studies or the equivalent.

Experience: At least 3 years of secretarial and office experience, including 1 year in a position which demonstrated the ability to work with minimum supervision and to direct an office operation.

Technical: Advanced secretarial skills. The ability to take dictation at 100 words per minute. The ability to operate commonly used office machines, such as voice recording equipment, adding and calculating machines, office copiers.

OR a combination of formal training and experience equivalent to the above

Preferred Qualifications

  • Technical Skills: Experience with Microsoft Office applications required. Experience with database applications preferred.

  • Experience: Working knowledge of general office practices and software applications and database management. Experience in credentialing and National and State regulatory requirements. Certified Provider Credentialing Specialist CPCS preferred.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

DirectEmployers