Position Summary: We have an exciting opportunity to join our team as a Credentialing Assistant.
In this role, the successful candidate Responsible for performing administrative support activities for physician credentialing. Under general supervision, assists the Credentials Specialists and/or Credentials Associates in processing new applications and reappointments for physicians and allied health providers. This includes assisting with the process for verification of licensure, education/training, board certification, current competency, disciplinary actions, sanctions, and malpractice insurance clearance. Also performs data entry, scanning, faxing, sorting mail and filing.
Performs other clerical duties and assists staff with special projects as assigned.
Responds independently to calls and inquiries from staff and visitors and determines urgency of situation. Decides emergency need to interrupt and/or contact Medical Staff Services Director.
Employ public relations skills in a wide variety of phone contacts with external sources for purposes of soliciting information essential to credentialing process, including licensing agencies; university and hospital training program personnel; certification boards; insurance department; hospital officials and credentials staff; physicians and their office staff.
Processes Epic in Basket requests in a timely manner.
Answers all routine inquiries including hospital verification inquiries utilizing Cactus database. Escalates inquiries concerning previously disciplined providers to Medical Staff Services Director for follow up.
Handles incoming and outgoing mail, opens, sorts and prioritizes.
Enters health assessments and other data into Cactus database as instructed.
Escalates delinquent licenses and certifications to Medical Staff Services Director for follow up in accordance with department policies.
Obtains and confirms primary source verification of licenses and required certifications from applicable on line databases and other sources, prior to expiration date. Enters all updated information into the CACTUS database accurately and timely. Files all documentation associated with primary source verification of licenses and required certifications in accordance with department policies.
Retrieves reports on expiring licenses, certifications, health reassessments, etc. on a scheduled basis, adhering to established deadlines.
Verifies faculty terminations and refers to appropriate Credentials Specialist/Associate for follow up, as needed.
Copies/scans credential files as instructed for OPMC, DOH, etc.
Makes copies and prepares packets/documents as needed to support department and medical staff committee meetings.
Answers telephone, screens calls, takes messages and provides information according to established department policies. Retrieves/sends faxes. Communicates effectively with staff and visitors, etc.
Assists with file audits, organizing and maintaining provider files in accordance with established principles of legal documentation and confidentiality.
Processes Find a Doc inquiries as assigned.
Updates Provisional Recommendations on the appropriate Credentials Committee listing and updates recommendations in CACTUS in the appropriate fields.
Checks the completed reviews, identifies and notifies management of any adverse information that requires follow up.
Tracks the progress of FPPE/OPPE/Provisional Reviews and completes follow-ups in a timely manner.
Generates the Roster for their assigned Departments due for FPPE/OPPE/Provisional Reviews and sends notification to the appropriate department contact.
Prepares files for review and signature (generating and printing the review form and flagging the privileges).
Enters delineation of privileges information into the Cactus database as instructed by the Credentials Specialist/Associate, conforming to defined data field uses.
Generates, scans, faxes, etc. hospital affiliations/training verifications, peer reference questionnaires and other documents as instructed by the Credentials Specialist/Associate and in accordance with established procedures/guidelines.
Completes required queries as instructed by the Credentials Specialist/Associate in an accurate and timely manner and in accordance with established procedures/guidelines. This includes primary source verification of licensure, education/training, board certification and eligibility, etc
Enters provider information/data in the CACTUS database as instructed by the Credentials Specialist/Associate in an accurate and timely manner and in accordance with established procedures/guidelines. This includes creating a new provider record, and entering and updating required information in the database.
Demonstrates knowledge of the organizations Service Standards and incorporates them into the performance of duties.
Minimum Qualifications: To qualify you must have a High school graduate or the equivalent. Minimum of two years credentialing experience in a healthcare setting required.
Preferred Qualifications: Medical staff office experience preferred. Excellent verbal and written communication skills, including knowledge of credentialing. Excellent computer skills, scanning, including word processing and data base maintenance (Cactus Software preferred). Energetic and self- motivated with the ability to complete projects independently within established timeframes. Ability to handle multiple projects and deadlines. Ability to cope with interruptions, varying personalities, rush projects, and demanding medical staff. Able to prioritize responsibilities. Independent judgment and interpersonal relationship skills in working with the staff, Medical Staff leaders and other Departments in the NYU Hospitals Center.
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.
NYU Langone Health is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online. If you wish to view NYU Langone Health's EEO policies, please click here. Please click here to view the Federal 'EEO is the law' poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information. To view the Pay Transparency Notice, please click here.
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Internal Number: 68130833
About NYU Langone Medical Center
NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. Included in the 200+ locations throughout the New York area are five inpatient locations: Tisch Hospital, its flagship acute-care facility; Rusk Rehabilitation, ranked as one of the top 10 rehabilitation programs in the country; NYU Langone Orthopedic Hospital, a dedicated inpatient orthopedic hospital with all musculoskeletal specialties ranked top 10 in the country; Hassenfeld Children's Hospital at NYU Langone, a comprehensive pediatric hospital supporting a full array of children's health services; and NYU Langone Hospital—Brooklyn, a full-service teaching hospital and level 1 trauma center located in Sunset Park, Brooklyn. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute–designated cancer center, and NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history.