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Hospital Credentialing Specialist

Apply now Job No: 494987
Department: Medical Board
Local Title: Hospital Credentialing Specialist
Budget Title: Teaching Hospital Staff Assistant II
Work Type: Full Time
Location: Brooklyn, NY
Categories: Management and Professional, Administrative

 

Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors.

Bargaining Unit:

UUP

Job Summary:

The Medical Board Office at SUNY Downstate Health Sciences University is seeking a full-time Hospital Credentialing Specialist / TH Staff Assistant 2.

Under the supervision of the medical staff Office Director, the Credentialing Specialist performs tasks necessary to ensure timely, accurate and reliable processing of medical staff appointments and reappointments in compliance with the New York State and federal regulations, the Bylaws of the Medical Staff and NCQA and Joint Commission standards, including the follow specific tasks:

  • Distributes applications for medical staff membership and/or clinical privileges.
  • Processes applications for initial appointments and reappointments as assigned, within 60-days, and in compliance with Bylaws, Policies and Procedures, National Committee for Quality Assurance standards, CMS, TJC, and other state and federal regulations.
  • Collects and analyzes primary course verifications of credentials, education, and training for potential compliance issues and generates follow-up requests for additional information if necessary and/or requested.
  • Assembles and prepares credentialing files for review by the Director, Clinical Department Chairman and/or Chief, and Credentials and Medical Executive Committee.
  • Performs accurate data entry to credentialing software and assists with the database management.
  • Tracks, monitors, and updates expired credentials and information to ensure that accurate and current data exist for each practitioner maintained in the database and those providers’ licenses and certifications remain current.
  • Maintains and applies working knowledge of the credentialing requirements and standards of CMS and NYS law relating to credentialing, privileging, and the medical staff organization, the Joint Commission and National Committee on Quality Assurance.
  • Coordinates and support meetings of the Credentials Committee, Medical Executive Committee, or Medical Staff and coordinates follow up form meetings to assure that action is taken, referrals are timely, and notification to individuals as necessary, is completed.
  • Assists with reviewing and preparing credential files to ensure compliance for Managed Care audits, site visits, and accreditation surveys.
  • Processes requests for verification of hospital affiliation (2805 Letters) to respond within 45-days of the date of requests.
  • Supports the Medical Board administrative functions (answering phones, reception, filing, scanning, audit preparations, mailings).
  • Performs other duties as assigned and assists in special projects as needed to meet department and/or system needs.

Required Qualifications:

  • High School Diploma
  • Ability to handle large work volume independently.
  • Excellent oral and written communication skills.
  • Excellent customer service skills.
  • Detail-oriented. 

Preferred Qualifications:

  • Experience in hospital medical staff credentialing.
  • College coursework.  

Work Schedule:

Monday to Friday; 9:00am to 5:00pm

Salary Grade/Rank:

SL-1

Salary Range:

Commensurate with experience and qualifications

 

COVID-19 Vaccination Requirement:

 

  An approved COVID-19 vaccination.

Executive Order:

Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation.  If such information has been requested from you before such time, please contact the Governor’s Office of Employee Relations at (518) 474-6988 or via email at info@goer.ny.gov.

Equal Employment Opportunity Statement:

SUNY Downstate Health Sciences University is an affirmative action, equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal or state laws.

Women, minorities, veterans, individuals with disabilities and members of underrepresented groups are encouraged to apply.

If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact Human Resources at 718-270-3025.

 

Advertised: Eastern Daylight Time
Applications close:

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