Credentialing Coordinator - Medical Staff Office

Location: Burlington, MA
Job ID: 175895-1A
Date Posted: Jun 14, 2022
Category: Specialist

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Job Description

Welcome To

Welcome to Lahey Hospital & Medical Center, part of Beth Israel Lahey Health. Lahey Hospital & Medical Center is a world-renowned tertiary medical center known for its innovative technology, pioneering medical treatment and leading-edge research. A teaching hospital of Tufts University School of Medicine, the hospital provides quality health care in virtually every specialty and subspecialty, from primary care to cancer diagnosis and treatment to kidney and liver transplantation. It is a national leader in a number of health care areas, including stroke, weight management and lung screenings, among many others. Lahey also helps to advance medicine through research and the education of tomorrow's health care leaders.

About the Job

Under the general supervision of the System Director, the Credentials is responsible for performing all duties related to the credentialing and privileging processes for medical staff and advanced practitioners.

 

Essential Duties & Responsibilities including but not limited to:

  1. Coordinates the credentialing and privileging processes for initial and re-credentialing and privileging for medical staff and advanced practitioners.
  2. Verifies eligibility, education, training, board certifications, work history references, licensure and certifications, malpractice coverage and privileges being requested, in accordance with NCQA and TJC standards and requirements.
  3. Manages expirables as appropriate.
  4. Enters all data in the appropriate databases assuring accuracy and completeness.
  5. Organizes and maintains paper and electronic files as required.
  6. Assembles and presents files for presentation to the Credentials Committees for recommendation and approval of appointments and privileges.
  7. Maintains a working knowledge or TJC and NCQA standards as well as of the Medical Staff Bylaws and applicable hospital policies to ensure compliance.
  8. Exemplifies a culture of excellence and customer service in all processes with all internal and external customers and all external representation of Lahey Hospital & Medical Center.  

 

Organizational Requirements:

Maintain strict adherence to the Lahey Hospital & Medical Center Confidentiality policy.

Incorporate Lahey Hospital & Medical Center Standards of Behavior and Guiding Principles into daily activities.

Comply with all Lahey Hospital & Medical Center Policies.

Comply with behavioral expectations of the department and Lahey Hospital & Medical Center.

Maintain courteous and effective interactions with colleagues and patients.

Demonstrate an understanding of the job description, performance expectations, and competency assessment.

Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.

Participate in departmental and/or interdepartmental quality improvement activities. 

Participate in and successfully completes Mandatory Education.

Perform all other duties as needed or directed to meet the needs of the department.

 

Minimum Qualifications:

Education:

Work requires the knowledge of theories, principles, and concepts typically acquired through completion of an Associate degree in healthcare or related field.

Licensure, Certification & Registration:

Certified Provider Credentialing Specialist (CPCS) or Certified Professional in Medical Staff Management (CPMSM) strongly preferred or willingness to achieve said certifications within 2 years.

Experience:

One - two years working in a medical staff office required.

Skills, Knowledge & Abilities:

Knowledge of ECHO (Heathline Systems) credentialing software and associated applications strongly preferred.

Excellent interpersonal and communication skills

Ability to work under minimal supervision and to adapt quickly to changes within the environment.

Shift

40 Hours / Day

About Us

Beth Israel Lahey Health is dedicated to improving health and wellness and making a difference in the lives of our patients, their families and all members of the communities we serve.  Formed in March 2019, Beth Israel Lahey Health is a patient-centered, integrated care delivery system providing a continuum of services spanning academic, tertiary and community hospitals, dedicated orthopedic and psychiatric hospitals, primary and specialty care, community acute care, ambulatory care, behavioral services and home health.  Beth Israel Lahey Health Performance Network is a unified joint contracting and population health management organization, jointly governed by participating physicians and hospitals.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.