Senior Credentialing Specialist
Job Description
Job Description
SUMMARY: The Senior Credentialing Specialist is an advanced technical professional who functions with minimal supervision applying extensive knowledge and expertise in the field to problem solve, formulate strategies in unique and complex situations, and administer policies, processes, and resources. The Senior Credentialing Specialist serves as an essential link and resource between department senior management and the medical staff to coordinate the operational processes and ongoing credentialing, privileging, and medical staff governance functions of the Medical Staff Administration Department. Responsible for review, analysis and follow up, and processing credentialing and privileging applications and ensuring compliance with organizational policies and accrediting and regulatory standards. Responsible for meeting management of Medical Staff departments and committees to include the Credentials Committee. Acts as trainer, credentials files, data entry auditor, and mentor to other credentialing specialists. SCS will also provide other support and assistance within the department as needed or assigned.
Shift: Monday-Friday 8am-4:30pm
DUTIES AND RESPONSIBILITIES: Consistently supports and communicates the Mission, Vision and Values of St. Joseph medical Center. Uses initiative and sound judgment when resolving problems. Recognized as a problem-solver and someone who will help when needed. SCS is consistently customer focused and result oriented. Committed to coworkers by contributing to a collaborative environment that values, empowers, enriches, and supports associates. Willingly mentor's co-workers and is recognized as a person who teaches and supports others. Excellent verbal and written English communication skills. Discretion and judgment in the handling of confidential and/or sensitive information. Demonstrated skill and ability to independently set and meet deadlines, multi-task, and effectively manage competing priorities. Advanced knowledge of applicable accreditation standards and regulations. Advanced analytical, critical thinking, organizational, and project management skills. Ability to maintain professional demeanor and poise while working under pressure, meeting deadlines, and managing changing priorities. Ability to maintain a work pace appropriate to the workload. Ability to complete job responsibilities with a high degree of accuracy under minimum supervision. Shows initiative for self-development and growth. Seeks opportunities both internally and externally to improve current competencies or develop new competencies.
MINIMUM KNOWLEDGE, SKILLS AND ABILITIES: Current NAMSS certification as CPCS and/or CPMSM Bachelor's degree in related area and / or equivalent experience / training Must possess the skill, knowledge and abilities essential to the successful performance of assigned duties Advanced knowledge and expertise in medical staff credentialing and privileging processes and procedures Minimum of five (5) years in the overall field with expertise in specific areas, including credentialing, privileging, formulating strategies, and administering policies and processes Must demonstrate customer service skills appropriate to the job Minimum of two (2) years meeting management experience High proficiency in credentialing database software programs Demonstrated advanced skill and proficiency in MS Office Suite (Outlook, Word, Excel, PowerPoint, SharePoint) Demonstrated advanced knowledge in data analysis, research and reporting Demonstrated ability to multi-task and manage time and prioritize projects efficiently and effectively Demonstrated ability to apply sound judgment and formulate strategies in ambiguous situations and effectively manage change Demonstrated ability to apply knowledge and recommend viable solutions for complex situations.
Houston's oldest hospital is GROWING!
Welcome to St. Joseph Medical Center (SJMC), Houston's first and only downtown hospital delivering world-class care for the last 137 years and looking forward to the next century of exceptional care to Houstonians when they need us most.
Whether it's for a scheduled surgery, the birth of a baby, an unexpected emergency, or an outpatient visit, we have staff available around the clock to provide you access to immediate, quality health care. SJMC has been providing health care services to Greater Houston residents for over 130 years, which should give you great comfort in knowing that we have a great tradition of caring for our community. We strive to meet our patients' expectations and encourage our patients to provide us with feedback on how we can help them have the best experience possible while they're in our care.
Over the last years we have expanded our services to include the Advanced Wound Care Center, Comprehensive Cardiac and Vascular Services, the Women's Center, the St. Joseph Maternal Fetal Medicine Center, and a Weight Loss Surgery Program, just to name a few. As you work with our physicians, nurses, case managers, educators, and other staff, you will be guided through your health care journey, from diagnosis to treatment, with compassion every step of the way.
Diversity, equity, inclusion, and belonging are at the foundation of the care St Joseph Medical Center provides to our community we are privileged to support in all of our employment practices. We do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or expression or any other non-job-related characteristic.