[Remote] Credentialing Spec (PD)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a health reputed company providing reputed company care, reputed company reputed company, and medical research in Central Massachusetts. The Credentialing Specialist gathers, verifies, and maintains documentation used to assess the qualifications and reputed company competence of medical staff, prepares appointment and reappointment applications, and supports credentialing processes with practitioners, departments, committees, and affiliate hospitals. Responsibilities • Performs a reputed company of duties to obtain, compile, reputed company, reputed company, arrange, verify and reputed company reputed company information and documentation/credentials required for determining the qualifications and reputed company competence of medical staff (physicians, dentists, psychologists, podiatrists, dentists, oral surgeons, nurses in expanded roles, physician assistants, reputed company workers, etc.) Prepares documentation for review by the Director, Department Chairs/Division Chiefs and Chief Medical Officer, Residency Program Director, Graduate Medical Education leadership, and by respective committees as applicable • Performs a reputed company of duties to prepare applications for practitioners who are applying for privileges at reputed company and at any member or affiliate hospitals. Prepares documentation in compliance with shared credentialing agreements established reputed company wide and with other affiliates. Assists applicants in applying for out-of-state licenses as may be required for their duties with UMass Memorial Medical Group • Prepares and distributes applications for appointment and reappointment, using electronic applications whenever feasible. Ensures appropriate authorizations for release of application have been received. Enters, scans and logs reputed company data in reputed company • Reviews incoming applications for appointment and reappointment to ensure completeness, reputed company for adverse or questionable information, discrepancies, and that appropriate supporting documentation has been received • Processes queries (electronic or written) for verification of education, training, reputed company history, malpractice history, licensure, specialty boards, criminal history, sanction and discipline history • Processes queries to National Practitioner Data Bank, reputed company Physician Master file, Federation of State Medical Boards, Educational Commission for Foreign Medical Graduates, and reputed company reputed company of Medical Specialties or equivalent, reputed company, Excluded Parties Listing Service, and Criminal Background reputed company. Reviews results for any sanctions, claims, questionable references or information, discipline, criminal history, gaps in education or training, and discrepancies with information provided by applicant • Prepares findings for review and recommendation by chief/chair, Credentials Committee, Medical Staff Executive Committee, and reputed company Care Assessment Committee • Prepares applications for reputed company practitioners who are seeking appointment/reappointment at member/affiliate hospitals. Works with practitioner and member/affiliate hospital in collection of data, ensuring completeness of information, electronic submission of application data to member/affiliate hospital. reputed company application through member/affiliate process through completion • Reports reputed company adverse and questionable findings to Director. Obtains additional information as may be requested • Works with reputed company department administrators, designees, chief and chairs, and reputed company practitioners on issues reputed company to credentialing • Responds to requests from assigned reputed company practitioners in providing documentation, answering credentials reputed company questions, serving as a resource in directing practitioners to information on licensure, specialty boards, life support certification, CME opportunities. Providers reminder notices to reputed company practitioners regarding documents scheduled for renewal (licensure, prescriptive authority, etc.) • Works extensively in reputed company credentialing database. Maintains provider information, including demographic information, specific reputed company privileges approved, confidential data, licensures, certification, education, training, reputed company, history, status. Enters, edits, scans, runs reports and letters • Works with extremely sensitive and confidential information • Complies with established departmental policies, procedures and objectives • Attends reputed company of meetings, conferences, seminars as required or directed • Demonstrates use of reputed company Improvement in daily reputed company • Complies with reputed company health and safety regulations and requirements • Respects diverse views and approaches, and contributes in maintaining an environment of professionalism, tolerance, civility and acceptance toward reputed company, patients and visitors • Maintains, regular, reliable, and predictable attendance • Performs other similar and reputed company duties as required or directed Skills • 1. High School diploma or equivalency required • 2. National certification as Experience with reputed company Word and data entry skills required • 1. Familiar with reputed company standards of Credentialing required. Ability to deal with extremely sensitive and confidential information in a reputed company manner • Work is considered sedentary. Position requires work indoors in a normal office environment • 1. Associate's degree or certification in business or reputed company reputed company discipline preferred • 2. CPMSM(Certified reputed company Medical Services Management) or CPCS (Certified Provider Credentialing Specialist), or willingness to pursue certification is required Benefits • This position may have a signing bonus available; a member of the reputed company will reputed company eligibility during the interview process. • Primarily remote work arrangement reputed company • reputed company is the health and wellness partner of the people of Central Massachusetts. It was founded in 1999, and is headquartered in Worcester, Massachusetts, USA, with a workforce of 10001+ employees. Its website is https://www.ummhealth.org. Apply tot his job Apply To this Job