Medical Staff Credentialing Specialist in Conway, South Carolina at Conway Medical Center

Position Title: Medical Staff Credentialing Specialist

Position Summary: The Credentialing Specialist (CS) works with Director of Medical Staff Services to keep all provider credentialing up to date and processes all new provider credentialing for Conway Medical Center (CMC). The CS works with CMC Medical Staff office in addition to Provider Network Services (PNS) Administrative office to ensure physician licenses, malpractice, and all other credentialing documentation remains current. Qualifications: Education:

• High school diploma required.
• Associate degree in business related field preferred.

Experience

• A minimum of three (3) years’ experience in physician credentialing required.

Licensure/Certification/Registration

• None

Duties & Responsibilities:

• Conduct primary source verification and ensure timely processing of applications for committee presentation.
• Prepare documentation for providers and vendors who will be presented to the Credentialing Committee.
• Keeps credentialing files and the credentialing electronic system up to date to meet MS bylaw requirements.
• Willing and able to perform call schedule related functions.
• May serve as a liaison with Medical Staff and provides administrative support to Chief Medical Officer, Medical Staff leadership, and governance structure.
• Maintain confidentiality of all information.
• Provide exemplary core customer service.
• Work effectively and collaboratively with colleagues, physicians, department heads, and members of third-party insurance carriers required.
• Effectively utilize strong organizational skills.
• Consistently display effective verbal and written communication skills.
• Proficient use of Microsoft Outlook, Word, Excel, Explorer, and PowerPoint.