Hospital for Special Surgery
Credentialing Coordinator
Hospital for Special Surgery, New York, New York, us, 10261
OverviewHow you move is why we’re here. ®Now more than ever.
Get back to what you need and love to do.
The possibilities are endless...
Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize
the abundant opportunities for growth and success.
If this describes you then let’s talk!
HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by
U.S. News & World Report . As a recipient of the
Magnet
Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment.
Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise
Credentialing Coordinator
Enterprise Credentialing & Academic Promotions (ECAP)
Education Institute
Full-Time
Overview:
The Credentialing Coordinator, under supervision of Credentialing Manager plays a key role with development, planning and implementation of the credentialing/privileging process.
The Credentialing Coordinator is responsible for maintaining the confidentiality of all Medical Staff related information, organizing and preparing for committee meetings, and ensuring compliance with the Medical Staff Bylaws, accrediting and regulatory agencies (i.e., Joint Commission, Centers for Medicare & Medicaid Services, NCQA) in regard to credentialing while developing and maintaining a working knowledge of the statutes and laws.
In this role the ideal candidate will demonstrate exceptional customer service skills, attention to detail and organization, and excellent verbal and written communication skills.
Major Responsibilities include, but are not limited to
:
Initiates process for Physician/Allied Health/GME initial appointment applications and reappointment applications for hospital and regional sites
Reviews and analyzes Physician/Allied Health/GME applications for initial appointment and reappointment and credentialing documents including clinical education/training, board certification and eligibility, licensure, accreditation, work history, liability insurance and malpractice claims history. Assesses completeness of information and qualifications relative to established standards. Identify and flag adverse information from application materials for the purpose of conducting special follow-up investigations in preparation for Credentials Committee review
Maintain applicant tracking system for follow-up of unanswered correspondence according to schedules designed to maintain departmental standards for application processing time
Respond to all 2805-K verification query requests
Tracks and maintains expiring licenses/registrations/health assessments for all credentialed providers and Focused Professional Practice Evaluations for all initial appointments
Send monthly communications to credentialed providers and Department chiefs related to expiring licenses/registrations/health assessments
Internally audit, organize and maintain provider files in accordance with established principles of legal documentation and confidentiality
Assists in managing the flow of information between the ECAP team, Credentials and MEC Committee members, Medical Staff Leadership
Assists in preparing files for payor delegated credentialing audits to ensure compliance.
Perform other related ECAP Department assignments as required and provide backup coverage as needed
Identify, develop, implement, and maintain credentialing/reappointment reports and or department workflow(s)
Prepares and attends monthly Credentials Committee meetings, coordinates agenda, takes minutes and provides administrative support
Prepares Credentials Report, coordinates agenda and supporting documents for Medical Board and Board of Trustees meetings
Prepares data reports for various configurations of data such as provider profiles, pending provider list, and expired credentials
Facilitates the ECAP Application Process Experience Survey
Perform other related administrative ECAP Department assignments as required
Lead ECAP huddles
Coordinate On Boarding Task Force Meetings
Coordinate meetings with NYPH and Non-NYPH Program Coordinators/Administrators
Enrollment of 2 Factor Authentication via Imprivata for prescribers
EPIC approvals – verify credentialed provider’s DEA in Cactus
EPIC/IT Ticket Submissions for GME InRotators and OnCalls
QualificationsEDUCATION:
Associates degree in a related field - Minimum Required
Bachelor’s degree in a related field - Preferred
CPCS - Preferred
PROFESSIONAL EXPERIENCE:
Minimum of 1-3 years of experience in processing initial and reappointment applications with knowledge in Joint Commission, NCQA, & Centers for Medicare & Medicaid Services.Experience working on Cactus or MSOW database, and with excellent writing and verbal communication
Prior experience in delegated credentialing
(Preferred)
Works well with high demand and strict deadlines
(Preferred)
TECHNICAL SKILLS & ABILITIES
Minimum Required
Demonstrated ability to be a self-starter
Project management skills
Proficient in Microsoft Office programs such as Word, Excel and Powerpoint
Excellent Organizational Skills
Familiarity with EPIC clinical software solutions
(Preferred)
INTERPERSONAL SKILLS & ABILITIES
Minimum Required
Demonstrates commitment to continual advancement of verbal and written communication skills
Ability to exercise diplomacy and maintain positive working relationships with coworkers to include internal and external customers and administrative staff, thereby promoting good customer and departmental relationships
Models high-level of Professionalism in all interactions
Exhibits exceptional interpersonal/customer service skills and is able to cope with stress effectively
High-level of Resiliency and Adaptability
Demonstrated proficiency in setting priorities and organizing work to meet strict deadlines
(Preferred)
Other Requirements
#LI-Onsite #LI-TA1Pay Range - Minimum
USD $55,000.00/Yr.Pay Range - Maximum
USD $65,000.00/Yr.
Get back to what you need and love to do.
The possibilities are endless...
Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize
the abundant opportunities for growth and success.
If this describes you then let’s talk!
HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by
U.S. News & World Report . As a recipient of the
Magnet
Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment.
Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise
Credentialing Coordinator
Enterprise Credentialing & Academic Promotions (ECAP)
Education Institute
Full-Time
Overview:
The Credentialing Coordinator, under supervision of Credentialing Manager plays a key role with development, planning and implementation of the credentialing/privileging process.
The Credentialing Coordinator is responsible for maintaining the confidentiality of all Medical Staff related information, organizing and preparing for committee meetings, and ensuring compliance with the Medical Staff Bylaws, accrediting and regulatory agencies (i.e., Joint Commission, Centers for Medicare & Medicaid Services, NCQA) in regard to credentialing while developing and maintaining a working knowledge of the statutes and laws.
In this role the ideal candidate will demonstrate exceptional customer service skills, attention to detail and organization, and excellent verbal and written communication skills.
Major Responsibilities include, but are not limited to
:
Initiates process for Physician/Allied Health/GME initial appointment applications and reappointment applications for hospital and regional sites
Reviews and analyzes Physician/Allied Health/GME applications for initial appointment and reappointment and credentialing documents including clinical education/training, board certification and eligibility, licensure, accreditation, work history, liability insurance and malpractice claims history. Assesses completeness of information and qualifications relative to established standards. Identify and flag adverse information from application materials for the purpose of conducting special follow-up investigations in preparation for Credentials Committee review
Maintain applicant tracking system for follow-up of unanswered correspondence according to schedules designed to maintain departmental standards for application processing time
Respond to all 2805-K verification query requests
Tracks and maintains expiring licenses/registrations/health assessments for all credentialed providers and Focused Professional Practice Evaluations for all initial appointments
Send monthly communications to credentialed providers and Department chiefs related to expiring licenses/registrations/health assessments
Internally audit, organize and maintain provider files in accordance with established principles of legal documentation and confidentiality
Assists in managing the flow of information between the ECAP team, Credentials and MEC Committee members, Medical Staff Leadership
Assists in preparing files for payor delegated credentialing audits to ensure compliance.
Perform other related ECAP Department assignments as required and provide backup coverage as needed
Identify, develop, implement, and maintain credentialing/reappointment reports and or department workflow(s)
Prepares and attends monthly Credentials Committee meetings, coordinates agenda, takes minutes and provides administrative support
Prepares Credentials Report, coordinates agenda and supporting documents for Medical Board and Board of Trustees meetings
Prepares data reports for various configurations of data such as provider profiles, pending provider list, and expired credentials
Facilitates the ECAP Application Process Experience Survey
Perform other related administrative ECAP Department assignments as required
Lead ECAP huddles
Coordinate On Boarding Task Force Meetings
Coordinate meetings with NYPH and Non-NYPH Program Coordinators/Administrators
Enrollment of 2 Factor Authentication via Imprivata for prescribers
EPIC approvals – verify credentialed provider’s DEA in Cactus
EPIC/IT Ticket Submissions for GME InRotators and OnCalls
QualificationsEDUCATION:
Associates degree in a related field - Minimum Required
Bachelor’s degree in a related field - Preferred
CPCS - Preferred
PROFESSIONAL EXPERIENCE:
Minimum of 1-3 years of experience in processing initial and reappointment applications with knowledge in Joint Commission, NCQA, & Centers for Medicare & Medicaid Services.Experience working on Cactus or MSOW database, and with excellent writing and verbal communication
Prior experience in delegated credentialing
(Preferred)
Works well with high demand and strict deadlines
(Preferred)
TECHNICAL SKILLS & ABILITIES
Minimum Required
Demonstrated ability to be a self-starter
Project management skills
Proficient in Microsoft Office programs such as Word, Excel and Powerpoint
Excellent Organizational Skills
Familiarity with EPIC clinical software solutions
(Preferred)
INTERPERSONAL SKILLS & ABILITIES
Minimum Required
Demonstrates commitment to continual advancement of verbal and written communication skills
Ability to exercise diplomacy and maintain positive working relationships with coworkers to include internal and external customers and administrative staff, thereby promoting good customer and departmental relationships
Models high-level of Professionalism in all interactions
Exhibits exceptional interpersonal/customer service skills and is able to cope with stress effectively
High-level of Resiliency and Adaptability
Demonstrated proficiency in setting priorities and organizing work to meet strict deadlines
(Preferred)
Other Requirements
#LI-Onsite #LI-TA1Pay Range - Minimum
USD $55,000.00/Yr.Pay Range - Maximum
USD $65,000.00/Yr.