We have an exciting opportunity to join our team as a Credentials Associate.
This position is responsible for the overall process for physician/practitioner reappointments to the Medical and Dental Staff. Communicates with the clinical department regarding providers due for review/reappointment , sends out applications and receives completed requests for physicians/allied health professionals requesting continuing membership on the medical staff. Initiates, processes, reviews and analyzes physician/allied health applications for reappointment to the staff. Maintains the confidential credential file of each applicant; reviews for completeness and notifies physician/practitioners of missing information.
Performs clerical duties as required or assigned on an ad hoc basis and provides backup coverage for the Medical Staff Services office as may be necessary to provide necessary services.
Responsible for notifying sponsoring department and staff member of progress toward completion of the verification process and may schedule interviews as determined appropriate. Sends second and third notices to those who do not respond by the first request.
Post Committee review and approvals may enter Delineation of Privileges data into electronic system and set up tracking to support privilege activities.
Employs public relations skills in a wide variety of phone contacts with external sources for purposes of soliciting information essential to credentials investigations, including licensing agencies; university and hospital training program personnel; certification boards; liability insurance carriers; hospital officials and credentials staff and physicians and their office staff.
Runs data reports for various basic configurations of data such as provider profiles, pending provider lists and expired credentials.
Maintains electronic work sheet/checklist of activities initiated and responses received; initiates appropriate follow-up to obtain verification of information. Utilizes the credentialing program on the computer system to obtain verification in a minimum amount of time. Maintains tickler system for follow-up of unanswered correspondence according to schedules designed to maintain departmental standards for application processing time.
Obtains Physician Profiles and assembles data to include all elements required by regulatory and accrediting agencies.
Enters updated information into the Cactus database, interpreting or adapting data to conform to defined data field uses. Prepares, issues, tracks and follows-up on appropriate verification letters for adequate processing of each individual application, applying established procedural guidelines. Maintains current logs of contact agents.
Identifies and flags adverse information from application materials for the purpose of conducting special follow-up investigations in preparation for Credentials Committee review.
Maintains current verification of licensure, DEA, malpractice insurance, malpractice claims history and certification information in credentials file; reviews content and raises appropriate questions regarding information and qualifications relative to established standards.
Must be a high school graduate or the equivalent.
Minimum of one year credentialing experience in a healthcare setting required.
Medical staff office experience preferred with credentialing certification from NAMSS (National Association of Medical Staff Services).
Excellent verbal and written communication skills, including knowledge of medical terminology.
Computer skills, including word processing and data base maintenance.
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.
Must be well organized and able to prioritize responsibilities.
Must have independent judgment and interpersonal relationship skills in working with medical staff leaders and other Departments in the NYU Health System.
Affiliation with the National and State Association Medical Staff Services encouraged.
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.
NYU Langone Health, a world-class patient-centered integrated academic medical center, is one of the nation's premier centers for excellence in clinical care, biomedical research, and medical education. Located in the heart of Manhattan, NYU Langone is composed of four hospitals – Tisch Hospital, its flagship acute care facility; Rusk Rehabilitation; the Hospital for Joint Diseases, one of only five hospitals in the nation dedicated to orthopaedics and rheumatology; and Hassenfeld Children's Hospital, a comprehensive pediatric hospital supporting a full array of children's health services across the medical center – plus the NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. The medical center's tri-fold mission to serve, teach, and discover is achieved 365 days a year through the seamless integration of a culture devoted to excellence in patient care, education and research. For more information, go to www.nyulangone.org.