Credentials Specialist Full Time Days

Description

The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and families throughout Michigan and beyond. A premier healthcare resource, our mission is to help people live happier, healthier lives. The hospitals of the Detroit Medical Center are the Children's Hospital of Michigan, Detroit Receiving Hospital, Harper University Hospital, Hutzel Women's Hospital, the DMC Heart Hospital, Huron Valley-Sinai Hospital, the Rehabilitation Institute of Michigan and Sinai-Grace Hospital.

DMC's 150-year legacy of medical excellence and service provides patients and families world-class care in cardiovascular health, women's services, neurosciences, stroke treatment, orthopedics, pediatrics, rehabilitation, organ transplant and other general and specialty services.

DMC is a key partner in Detroit's resurgence, which continues to draw national and international attention. A dedicated corporate citizen with strong community ties, DMC is one of the largest and most diverse employers in Southeast Michigan.

Job Summary

Under general supervision, processes applications for appointment/re-appointment of practitioners requesting or renewing membership and privileges at DMC system hospitals and affiliated operating units.

• Maintains physician database and performs all primary source verifications for appointment, reappointment and changes in staff status.
• Scans and appends electronic attachments to the appropriate electronic file.
• Ensures the timely completion of applications by communicating with and assisting the applicants in submitting all documentation necessary to process the applications.
• Receives and files approval letters and privileges.
• Adheres to credentialing policies/procedures, hospital by-laws, department rules/regulations and medical staff policies.
• Participates in the development and implementation of process improvements for the system-wide credentialing process.
• Participates in professional development programs and professional organizations to enhance understanding of various regulations and legislation of the health care industry.

1. High school diploma or equivalent. Two years of post high school secretarial, office management or equivalent education/training strongly preferred.

2. Two years of medical affairs office or credentialing experience in managed care, hospital, or physician practice. OR Three years of experience in a role requiring a high level of analytical ability and coordination of processes.

3. CPCS or CMSC certification preferred.

4. Knowledge of ECHO or other credentialing software preferred.

5. Knowledge of NCQA and JCAHO standards, NPDB guidelines and general licensing regulations preferred.

6. Basic knowledge of medical terminology desired.