Children's Hospital Boston Medical Staff Credentialing Specialist in Boston, Massachusetts
59889BRTitle:Medical Staff Credentialing SpecialistDepartment:Medical Staff ServicesAutoReqId:59889BRStatus:Full-TimeStandard Hours per Week:40 Job Category:AdministrationJob Posting Description:At Boston Children’s Hospital, the quality of our care – and our inclusive hospital working environment – lies in the diversity of our people. With patients from local communities and 160 countries around the world, we’re committed to reflecting the spectrum of their cultures, while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices are heard and ideas are shared. Join us, and discover how your unique contributions can change lives. Yours included.
This Medical Staff Credentialing Specialist will be responsible for:
Processing applications for appointments, re-appointments and clinical privileges.
Reviewing and evaluating applications, including evidence of education, training, experience & competency, to determine eligibility for membership and clinical privileges, in accordance with our policies, procedures and accreditation standards. Obtaining primary source verifications. Identifying discrepancies and obtaining clarification. Maintaining contact with stakeholders throughout the process in a customer-focused manner. Escalating any concerns and resolving issues throughout the process.
Maintaining confidential credentialing files. Enrolling & maintaining enrollment and terminating at members with the appropriate malpractice carrier.
Providing the highest level of service to all customers as demonstrated through the core values of the enterprise. Implementing office goals and objectives using continuous process improvement methods. Maintaining relationships and serves as liaison between Medical Staff Services & clinical departments & divisions, and their Chief(s), enterprise-wide to addressing questions and concerns. Teaching & providing expertise to managers, medical staff & staff on credentialing processes, requirements & regulations. Applying relevant Medical Staff Bylaws & Rules & Regulations and any other relevant regulatory standards.
Maintaining medical staff records as well as physician databases ensuring that all documentation is up-to-date and stored in accordance with policy. (MD Staff)
To qualify, you must have:
An Associate’s Degree in Medical Staff Services Science, Health Care Admin or a closely related field, or 1 year of basic technical training and 1+ years’ experience preferably with medical staff credentialing
Strong organizational skills, detail-orientation, ability to prioritize and time management skills in a fast-paced environment
Excellent Analytical skills to problem solve
Strong communication and customer focus skills
Commitment to professional growth and development, including: NAMSS certification attainment or preparations (certification is not required)
Nimbleness in adapting to the needs of the team and customers
Commitment to accuracy through continuous assessments, goal creation and attainment to foster development & learning
Commitment to continuous process improvement
Must live in MA, RI or NH
Please note: During a public health emergency, individuals in this role may be expected to take on additional duties to respond to organizational needs.
Boston Children’s Hospital offers competitive compensation and unmatched benefits, including a flexible schedule, affordable health, vision and dental insurance, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition Reimbursement, and discounted rates on T-passes. Discover your best.
Boston Children’s Hospital is an Equal Opportunity / Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.Office/Site Location:BostonRegular, Temporary, Per Diem:Regular