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CREDENTIALING ANALYST-MEDICAL STAFF OFFICE

TriHealth

United States, Ohio, Cincinnati

375 Dixmyth Ave (Show on map)

Nov 26, 2024

Job Overview:

The Credentialing Analyst works under the direct supervision the Director of Medical Staff Services. Duties and responsibilities include reviewing, verifying and following up with the processing of incoming applications for medical staff appointments and privileges. Prepares and processes reappointment applications for Medical Staff Services. Analyzes incoming information to determine applicant's eligibility and compiles and evaluates provider-specific data for review by Medical Staff leaders. Recognizes, investigates, and validates discrepancies and potentially adverse information received from applications, primary sources, or other sources. Verifies and documents expirable information using acceptable Primary or Equivalent Source Verification. Performs data entry of applicant information into credentialing database to ensure accurate and current information is maintained. Maintenance and storage of medical staff files. Provides administrative support of the Joint Credentials Committee and its Department Chairs. Maintains records and disseminates information of staff privileges as appropriate. Ensures strict confidentiality of physician data. Processes requests for privileges, verifying appropriate training/current competency; responds to queries pertaining to provider's status; applies clearly defined credentialing & privileging processes to providers; attends and presents requested Medical Staff information in accreditation surveys; coordinates meeting logistics including document preparation and follow up for TriHealth Joint Credentials meetings; and prepares minutes & exhibits of Medical Staff actions for MEC and Board.

Job Requirements:

High School Degree or equivalent

3-4 years experience Healthcare preferred

1-2 years experience Administrative support role

Job Responsibilities:

Other job-related information:

Working Conditions:

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

Serve: ALWAYS...

* Welcome everyone by making eye contact, greeting with a smile, and saying "hello"

* Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist

* Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS...

* Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met

* Offer patients and guests priority when waiting (lines, elevators)

* Work on improving quality, safety, and service

Respect: ALWAYS...

* Respect cultural and spiritual differences and honor individual preferences.

* Respect everyone's opinion and contribution, regardless of title/role.

* Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS...

* Value the time of others by striving to be on time, prepared and actively participating.

* Pick up trash, ensuring the physical environment is clean and safe.

* Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS...

* Acknowledge wins and frequently thank team members and others for contributions.

* Show courtesy and compassion with customers, team members and the community