- Accountable for initial and continuous verification of credentials of medical staff members, health care/allied health providers for medical staff and managed care/government plans.
- Accountable for ensuring ongoing state and federal licensure, compliance with JCAHO and NCQA standards and observance of applicable hospital medical staff by laws and managed care/government plan requirements.
- Ensures maintenance of current and accurate data/information in system credentials database. Appropriately utilizes the database to produce reports, lists, rosters, etc., assisting BJC facilities as needed.
- Maintains the permanent credentials files on all applicable medical staff members, managed care and allied health providers, including Locums. Assures accuracy of records and maintains a state of readiness at all times for review/audit by delegated entities, licensing and accrediting agencies.
- Participates in training and development of HMP personnel on credentialing verification issues.
- Assures the confidentiality and integrity of all aspects of the credentialing verification program and process.
- Prefer past medical staff office or credentialing verification experience.
- Knowledge of Excel.
- Knowledge of PECOS and NPPES.
- Prefer experience with managing groups in Medicare enrollment as well as individual enrollment for various types of providers.
- Knowledge of medical staff line credentialing database.
- Up to 22 days of vacation, 10 recognized holidays, and sick time.
- Competitive health insurance packages with priority appointments and lower copays/coinsurance.
- Want to Live Near Your Work and/or improve your commute? Take advantage of our free Metro transit U-Pass for eligible employees. We also offer a forgivable home loan of up to $12,500 for closing costs and a down payment for homes in eligible neighborhoods.
- WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
- Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more
- We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered.
- WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
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Credentialing Assistant - St. Louis, United States - Washington University
Description
Scheduled Hours40
Position Summary
Position supports and facilitates all aspects of enrollment and maintenance of licenses for physicians, psychologists, and allied health professionals. This includes credentialing database management (MSOW) as well as license and enrollment maintenance and troubleshooting.
Job Description
Primary Duties & Responsibilities
High school diploma or equivalent high school certification with three to five years' experience is required.
Grade
C08-H
Salary Range
$ $30.24 / Hourly
The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.
Accommodation
If you are unable to use our online application system and would like an accommodation, please email or call the dedicated accommodation inquiry number at and leave a voicemail with the nature of your request.
Pre-Employment Screening
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.
Benefits Statement
Personal
EEO/AA Statement
Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.
Diversity Statement
Washington University is dedicated to building a diverse community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.
