Tandem Hospital Partners

  • Credentialing Specialist (Temporary)

    Job Locations US-TX-Houston
    Job ID
    2018-1387
    # of Openings
    1
    Category
    Clinical Operations
    Name
    Corporate Office
  • Overview

     

    Tandem Hospital Partners works with leading hospital systems across the U.S. to build and operate state-licensed, CMS-accredited, acute care neighborhood hospitals.  These next-generation hospitals offer convenient, 24/7 neighborhood access to high quality, compassionate emergency and inpatient care, offering low wait times and an exceptional patient experience.

     

    Tandem’s strong clinical, retail, and hospital experience establishes us as the preferred partner in this emerging, innovative industry segment with the most experienced, collaborative, values-driven leadership team.  By partnering with Tandem, hospitals can meet the growing demand for emergency and inpatient services in communities where they are currently underrepresented, providing more convenient access to high quality, integrated and patient-centered care.

     

    Job Opportunity – Credentialing Specialist, Medical Staff Services (Contract/Temporary)

     

    This position reviews medical and advanced practice applications in compliance with federal and state regulatory requirements, and CMS, NCQA, and DNV GL accreditation requirements including, peer assessment of competence for physicians and providers applying or reapplying for affiliation with Tandem Hospital Partners its affiliates or contracted entitles for which system provides credentialing services. Provides initial review and analysis of membership and privileges and compliance of requirements as defined by each entity.  Participates in continuous quality improvement activities and educational experiences in support of the philosophy and objectives of Tandem Hospital Partners initiatives.

     

    This position reports to the Manager, Medical Staff Services.

     

     

     

    Responsibilities

      

    Essential Functions

    • Upholds the values and mission of the company.
    • Previous healthcare experience in a medical staff office setting, provider enrollment, or in credentialing services environment.
    • Certification as a Certified Provider Credentialing Specialist (CPCS) or ability to obtain certification according to NAMSS pre- requisitions to obtain certification within 2 years of meeting eligibility requirements. Obtain/maintain certification according to the National Association of Medical Staff Services (NAMSS).
    • Ability to effectively interact and communicate orally and in writing with Medical Staff, Hospital Partners and employees and all levels of staff within the organization.
    • Excellent, organizational, independent judgment and critical-thinking skills required.
    • Familiarity with DNV GL regulations, physician credentialing or employment investigation principles and practices preferred.
    • Ability to interpret regulatory and accrediting standards for credentialing and medical staff services.
    • Management of high volumes, team work professionalism and flexibility necessary to be successful.

     

     

    Qualifications

     

    Minimum Qualifications

    • Undergraduate Degree preferred
    • Minimum two years’ experience in physician credentialing, human resources, medical administration or legal office OR four (4) years of experience in a directly related field
    • Proficient use of computer based medical staff programs, databases and Microsoft office programs (i.e. Word, Excel, PowerPoint)
    • Excellent written, verbal communication, organizational and strong interpersonal skills required.

     

    Knowledge, Skills and Abilities

    • Demonstrates leadership qualities; takes accountability, uses initiative, thinks strategically, possess critical thinking skills, promotes changes, uses good judgment, seeks guidance as needed
    • Credentialing technical skills
    • Overall working knowledge of software programs with a drive to incorporate technology in all operational functions
    • Strong organizational skills, sound judgement
    • Excellent communication skills, diplomacy, discretion, tact
    • Knowledge of medical terminology
    • Ability to work collaboratively across departmental functions
    • Ability to ensure privacy/confidentiality of employee information at all times.
    • Strong problem solving and analytical skills, with an understanding of core business practices
    • Excellent time management skills, ability to work independently, detail oriented, excellent organizational skills, and ability to meet deadlines
    • Ability to remain flexible and adapt to change
    • Ability to maintain composure in addressing stressful and/or challenging situations

    Location

    Downtown-Houston, Texas

     

    Eligibility Requirements

    If you are applying for a position in the U.S., you must be at least 18 years of age, legally authorized to work in the U.S., and not require sponsorship for employment visa status (e.g. TN, H1B status), now or in the future.

     

    THP strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. THP is proud to be an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, disability, Veteran status, gender identity or expression, genetic information or any other legally protected status.  We maintain a drug-free workplace and perform pre-employment substance abuse testing.

     

    The essential functions listed are typical examples of work performed by positions in this job description and are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks and responsibilities. Specific duties and responsibilities may vary depending on department or program needs without changing the general nature and scope of the job or level of responsibility. Employees may also perform other duties as assigned.

     

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