Dallas, Texas, USA
1 day ago
Credentialing Specialist *Hybrid

About Us

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Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.

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Our Core Values are:

\n\nWe serve faithfully by doing what's right with a joyful heart.\nWe never settle by constantly striving for better.\nWe are in it together by supporting one another and those we serve.\nWe make an impact by taking initiative and delivering exceptional experience.\n\n

Benefits

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Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

\n\nEligibility on day 1 for all benefits\nDollar-for-dollar 401(k) match, up to 5%\nDebt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more\nImmediate access to time off benefits\n\n

At Baylor Scott & White Health, your well-being is our top priority.

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Note: Benefits may vary based on position type and/or level

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Job Summary

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Under general supervision, responsible for all functions of the Credentialing Specialist. This includes credentialing, re-credentialing, and clinical privileging of medical staff. It also involves delineation of services for allied health professionals at Baylor Scott & White Health. Responsible for the accuracy and integrity of the credentialing and clinical privileging database system. Functions as a Credentialing Specialist to ensure the department performs optimally. Is knowledgeable about TJC, CMS, and other regulatory agencies related to medical staff and allied health professionals.

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Work Model

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Hybrid once training has been completed (Days in office/Days working from home.)

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*Completion is dependant upon employees progression throughout training. 

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Monday through Friday - Daytime

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Hourly

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Essential Functions of the Role

\n\nCoordinates and maintains credentialing and re-credentialing for new and reappointment applications. Manages clinical privileging for medical staff and allied health professionals. Ensures compliance with medical staff bylaws, rules, regulations, policies, TJC, CMS standards, and other regulatory agencies.\nProcesses and maintains confidential medical staff and allied health professional data files. Handles requests for new applications, reappointment applications, staff category changes, and resignations or retirement.\nObtain all applicable affiliations using verification software, databases, and approved internet sites for primary source information and references.\nObtain all applicable education using verification software, databases, and approved internet sites for primary source information.\nSends appropriate communication and provides follow up to practitioners.\nReviews privilege cards and helping documentation for accuracy and completion.\nRecord all incoming mail/helping documentation in credentialing software system.\nPerforms quality audit and review. This may include examining files for completeness, conducting a final audit of completed applications and privileges, and confirming checklist data entry is complete. Provides final follow-up as necessary. Communicates incomplete status with applicants, facilities, and CVS Leadership. Maintains data integrity of the credentialing software database according to established policies and procedures.\nMaintains knowledge of medical staff bylaws, rules, regulations, and allied health policies. Understands other credentialing policies and procedures.\nActs as a liaison between the medical staff facilities, practitioners, allied health professionals and administration.\nPerforms other duties as required. Job duties are subject to changes as directed by management.\n\n

Key Success Factors

\n\nAssociate's degree preferred.\nKnowledge of Health Line System (Medical Staff Line and/or Echo) or other credentialing system preferred.\nKnowledge of basic anatomy and physiology, medical terminology and functions of medical staff services.\nAdvanced computer skills in word processing, spreadsheets and databases.\n\n

Belonging Statement

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We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.

QUALIFICATIONS

EDUCATION - Associate's or 2 years of work experience above the minimum qualificationEXPERIENCE - 1 Year of Experience

CERTIFICATION/LICENSE/REGISTRATION -

Cert Medical Staff Coord (CMSC), Cert Provider Credentialing Spec (CPCS), Cert Prof Medical Services Mgr (CPMSM): Requires one of these certifications: Cert Professional Medical Services Management (CPMSM), Cert Medical Staff Coord (CMSC), or Cert Provider Credentialing Specialist (CPCS). Must obtain within 24 months from hire date.
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