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Beth Israel Lahey Health Medical Credentialing Specialist (40-Hours)) in Winchester, Massachusetts

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Job Type:

Regular

Scheduled Hours:

40

Work Shift:

Day (United States of America)

Contributes to the Hospital’s mission by verifying physician’s applications for privileges and conducting background checks to ensure our physicians meet the competency standards as determined by the medical department chiefs and Joint Commission standards. This administrative compliance position will have an impact on hospital safety and physician engagement and satisfaction by appointing/reappointing providers in an efficient and thorough manner.

Job Description:

Schedule: This is a hybrid position (a few days on-site and at home).

This is "not" a remote-only position.

Education/Experience

Required: (One of the following)

  • Associate degree in healthcare or business with at least (1) one year of experience working in a medical staff office or directly relevant area involving enrollment physician credentialing in another setting

  • Three (3) years of highly relevant experience with at least (1) one of those years working in a medical staff office or highly relevant area involving provider enrollment/ credentialing in another setting.

  • Bachelor's degree in a highly relevant field with some experience working with physicians or credentialing.

Preferred: Credentialing experience

Other Skills/Knowledge

Required:

  • For safety and quality reasons, must be able to read, write and communicate effectively in English with patients, visitors and fellow members of the hospital team.

  • General understanding and knowledge of the Center for Medicare and Medicaid Systems (CMS), the Joint Commission (TJC), National Association for Quality Assurance (NCQA) and the Massachusetts State Regulations as they pertain to credentialing of Medical Staff members and Allied Health professionals.

  • Ability to problem solve and make decisions.

  • Proven ability in word processing and Excel

  • Excellent database and Internet navigating skills.

  • Demonstrated attention to detail and accuracy.

  • Excellent organization and planning skills

  • Polished communication and customer service skills, in writing, in person and over the phone.

.

LICENSES, REGISTRATIONS, CERTIFICATIONS:

Preferred: Certified Provider Credentialing Specialist (CPCS)

OTHER JOB REQUIREMENTS:

Professional Commitment Requirements: Keep abreast of developments in the field and/or licensure through continuing education, participation in professional organizations or a combination of both.

Travel Requirements: None

REPORTING RELATIONSHIPS:

  • Reports to the Manager of Medical Staff Services

  • Not responsible for supervising the work of others.

FLSA Status:

Non-Exempt

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more (https://www.bilh.org/newsroom/bilh-to-require-covid-19-influenza-vaccines-for-all-clinicians-staff-by-oct-31) about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

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