Credentialing Specialist
Primary location: Hackettstown,NJ
Schedule: Full-time
Type: Phy.Relations and PracticeMgmt
Shift: Monday-Friday
Job ID: 6860
- Responsible for collecting and maintaining provider credentials necessary to ensure i re-credentialing with all AHS facilities. Tracks and monitors expirables through online medical staff reporting. Enters specialized applicant information into a complex database to ensure continued participation on the appropriate medical staffs and maintain EPIC access.
Principal Accountabilities:
1. Assists in the processing of departmental credentialing requests, preparation of reappointment packets for assigned area of responsibility, and tracking of reapplications sent, received, and processing time, in accordance with established procedures and time frames.
2. Reviews reapplications and follows-up on incomplete reapplications in accordance with defined policies and procedures and ensures timely and accurate entry of all application information in database.
3. Follows-up on missing data and/or discrepancies and validates responses to queries received and information entered in database to ensure timely and accurate entry of all applications.
4. Informs credentialing team of any potential problems identified during the verification process.
5. Documents interactions with clinical contacts and applicants and tracks reports to ensure accuracy and thoroughness of data entry documentation.
6. Assists in the editing, revising, and updating of the credentials verification policies and procedures.
7. Accurately enters data into specialized computer database system, in accordance with policies and procedures. - 8. Monitors and tracks expirables so that all are kept up to date
- 9. Creates and runs OPPE reports every six months to track provider quality and competency
- 10. Collecting annual evaluations and collaborating and supervisory agreements.
- 11. Attend and take departmental meeting minutes
- 12. Attend and assist on the quarterly staff meetings
- 13. All other duties as requested
Required:
1. High School Diploma required.
Preferred:
1. 3 years of experience in Healthcare, Credentialing Services or other relevant area.
About US
ABOUT US
At Atlantic Health System, our promise to our communities is; Anyone who enters one of our facilities, will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 20,000 team members. Headquartered in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include:
- Morristown Medical Center, Morristown, NJ
- Overlook Medical Center, Summit, NJ
- Newton Medical Center, Newton, NJ
- Chilton Medical Center, Pompton Plains, NJ
- Hackettstown Medical Center, Hackettstown, NJ
- Goryeb Children’s Hospital, Morristown, NJ
- CentraState Healthcare System, Freehold, NJ
- Atlantic Home Care and Hospice
- Atlantic Mobile Health
- Atlantic Rehabilitation
We also have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. Atlantic Accountable Care Organization is one of the largest ACOs in the nation, and we are a member of AllSpire Health Partners.
We have received awards and recognition for the services we have provided to our patients, team members and communities. Below are just a few of our accolades:
- 100 Best Companies to Work For ® and FORTUNE® magazine for 15 years
- Best Places to Work in Healthcare – Modern Healthcare
- 150 Top Places to work in Healthcare – Becker’s Healthcare
- 100 Accountable Care Organizations to Know – Becker’s Hospital Review
- Best Employers for Workers over 50 – AARP
- Gold-Level “Well Workplace”: Wellness Council of America (WELCOA)
- One of the 100 Best Workplaces for “Millennials” Great Place to Work® and FORTUNE® magazine
- One of the 20 Best Workplaces in Health Care: Great Place to Work® and FORTUNE® magazine
- Official Health Care Partner of the New York Jets
- NJ Sustainable Business
Hackettstown Medical Center has been providing care to the community since 1973, primarily serving Warren, Sussex and Morris Counties in New Jersey. From preventive services and outpatient testing, to care for minor injuries and life-threatening illness, we offer a wide range of services to keep our local population healthy. Hackettstown Medical Center maintains several designations, including Primary Stroke Center from both the New Jersey Department of Health & Senior Services and The Joint Commission’s advanced certification program; accreditations from the American College of Radiology for mammography, nuclear medicine and ultrasound; sleep disorder center accreditation from the American Academy of Sleep Medicine; and Quality of Care recognition for our cardiopulmonary department from the American Association for Respiratory Care. In addition, we provide education, screenings, support groups and wellness programs for people of all ages through our Center for Healthier Living.
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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