Credentialing Specialist

Weiss Memorial Hospital has been serving Chicago’s North Side and surrounding communities providing excellent health care services for over 60 years. We are a 236-bed, Joint Commission-accredited facility providing a full range of health care services to meet the needs of our diverse community. We have grown to better serve our community to include more than 450 doctors representing 42 medical specialties and more than 800 employees, all committed to providing you with personalized care. We are looking for exceptional people who share our mission and values to join our team!JOB SUMMARYReporting to the Manager of the Medical Staff Office, this role involves independent judgment in processing all requests for the initial appointment to the medical staff from the pre-application process through the initial application. The position independently manages all physician input into various hospital systems, including Med Series 4 (MS4) and Opus Physician Referral, and serves as a liaison to the contracted physician referral service. It also provides administrative support to various medical staff officers and committees as well as to the Medical Staff Office and the Manager of the Medical Staff Office.JOB QUALIFICATIONSExperience credentialing physicians in a healthcare environment.Qualified to become a Certified Provider Credentialing Specialist or Certified Professional in Medical Services Management.Knowledge of medical terminology and ability for medical terminology transcription.Knowledge/ability for computer use and operation, including the ability to develop a working knowledge of the Medical-Dental Staff Line computer system.A high level of organizational skills and analytical ability to perform data gathering, prepare and process documents, and maintain records; proficient typing and secretarial skills.A high level of interpersonal skills to communicate effectively with the Medical Staff and various levels of hospital staff and visitors.The ability to maintain a very high level of confidentiality.JOB DUTIESCoordinates and monitors the pre-application process, including distribution of the pre-application form and review of the completed form and curriculum vitae.Coordinates and monitors the new physician application process in accordance with JACHO standards and internal policies; verifies all primary sources and gathers required information for presentation to the department and medical staff credentials committees.Processes requests for temporary privileges and maintains up-to-date information on all new privileges and credentials.Maintains hospital physician credentialing database and physician privileges, including updating contact information and maintaining records in the National Practitioner Databank.Maintains Hospital Med Series 4 (MS4) database with all physician input.Acts as Liaison to Physician Referral Service, checking for accuracy and completeness of applications.Handles daily physician queries from insurance companies, HMO’s, and other hospitals in a timely manner.Coordinates the gathering and distribution of information for various Hospital committees, preparing agendas and transcribing minutes.Maintains medical staff quality assurance files and assures their confidentiality.Provides administrative support to the Medical Staff Officers as required.Completes a variety of typing tasks, including dictated reports and correspondence.Maintains a library of credentialing information to assist and educate department chairs and credentials committees.Receives and screens visitors and telephone calls, directing appropriately.Conforms to the established Standards of Behavior.Weiss Memorial Hospital provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

#J-18808-Ljbffr