Credentialing Specialist

Beth Israel Lahey Health•Cambridge, MA

5d•$26 - $43•Hybrid

About The Position

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Beth Israel Lahey Health and Mount Auburn Hospital are devoted to consistently promoting a culture of Wellbeing, Empathy, Collaboration, Accountability, Respect, and Equity as outlined in our organization's WE CARE values. The Credentialing Specialist will support the Medical Staff Office at Mount Auburn Hospital in Cambridge, MA. This will be a hybrid opportunity following the orientation period, with the ability to work 3-4 days remotely per week. Job Description: Provide credentialing support for the Medical Staff Office, coordinate day-to-day operations, and attend Medical Staff committees as necessary. Assists with the processing of medical staff applications for initial appointment and reappointment. Reports to the Program Manager of the Medical Staff Office.

Requirements

High School Diploma or GED Required; Associate's degree preferred
Three years of directly related administrative experience, healthcare setting preferred
Experience with electronic credentialing systems or ability to train to high level of proficiency
Knowledge of Microsoft Office applications, including Microsoft Word, Excel, and Outlook, and the ability to work with credentialing platform (MDStaff)
Demonstrates the ability to interact and communicate effectively with people
Excellent verbal and written communication skills
Excellent organizational skills, including ability to prioritize work and handle multiple tasks simultaneously
Ability to maintain accurate and detailed records
Must be able to readily adjust to change and handle a rapid-paced environment while continuing to provide high-quality, efficient service.

Responsibilities

Accountable for Medical Staff Credentialing and Reappointment Process
Processes initial applications for appointments to the Medical Staff, from written recommendation by Department Chair, through final decision by Board of Trustees
Follows up with Department Chairs on incomplete applications
Interfaces with BILH CVO as needed to facilitate information exchange to review applications
Reviews completed applications, ensures that all items are included in providers files, and that changes are entered into the credentialing software (MDStaff) for updating
Distributes completed applications to Department Chairs with alerts resulting from review process
Updates the database with current certifications, including, but not limited to: DEA, ACLS, NRP, Board Certification and re-certification, Malpractice coverage, and UP/RAD/MOD, if applicable
Maintains professional standards for all communications
Provides administrative support to the Medical Staff Executive Committee and Credentials Committee, as well as to the President of the Medical Staff
Assembles and distributes supporting documents for Credentials Committee, Medical Staff Executive Committee, and Medical Staff Quarterly meetings
Tracks required attendance at Medical Staff Quarterly meetings for active medical staff
Maintains accurate records pertaining to malpractice insurance for all credentialed staff, including type of coverage, type of premium, carrier, and term of coverage
Follows proper procedure and maintains confidentiality of all information exchanged with malpractice carriers
Responsible for managing staff dues
Records and tracks payment of annual expenses on Microsoft Excel spreadsheet
Performs data entry for a variety of databases including entering, maintaining, and updating privileges or administrative data into credentialing software
Organizes other Medical Staff functions under the direction of the Program Manager, Credentialing Chair, and President of the Medical Staff
Monitors email box for the MSO
Performs all other duties as needed or directed to meet the needs of the department.