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Billings Clinic Credentialing/Medical Staff Specialist (1.0) in Billings, Montana

You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.And you'll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!You can make a difference here. About UsBillings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.Your BenefitsWe provide a comprehensive and competitive benefits package to all permanent full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the Employee Benefits Guide. Magnet: Commitment to Nursing ExcellenceBillings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more!Pre-Employment RequirementsAll new employees must complete several pre-employment requirements prior to starting. Click here to learn more! Credentialing/Medical Staff Specialist (1.0) MEDICAL STAFF SERVICES (BILLINGS CLINIC HOSPITAL) req7645Shift: DayEmployment Status: Full-Time (.75 or greater) Hours per Pay Period: 1.00 = 80 hours (Non-Exempt) Starting Wage DOE: $20.66 - 25.83Coordinates and conducts thorough credentialing which ensures that every physician and medical associate/assistant, who provides ambulatory and inpatient services at BC facilities, is fully trained and qualified to provide the treatments and procedures requested. Provides administrative oversight of BC-practitioner licensing, board certifications privileges at other facilities, and maintenance of credentialing-related records required for all affiliations and managed care payer contracts.ESSENTIAL JOB FUNCTIONS* Coordinates the credentialing process of physicians and other practitioners who provide patient care in BC facilities and are members of provider panels for third-party payers. Credentials and re-credentials all practitioners who utilize hospital facilities and provide ambulatory patient care in BC facilities. Analyzes information provided by applicants and individuals/entities who verify applicant's qualifications, and ensures that these functions are carried out in the time period required. Makes decisions on how and when the following are done based on Medical Staff Services policies and Medical Staff Bylaws: initial verifications of qualifications and clinical competency; biennial re-credentialing and privileging; queries to all required national databanks, licensing boards, and certification boards; review of new applicants and reappointments by MSS Manager; communications to individuals and committees responsible for credentialing decisions; ongoing individual compliance to medical staff requirements; and maintenance of all computer databases and physical records containing these elements.* Responsible for carrying out credentialing processes in compliance with BC medical staff bylaws, legal requirements, accrediting agencies, and third-party payer contracts. Demonstrates compliance to BC management, physician leadership, accreditors, and auditors.* Acts as an advocate and a resource to BC Leadership and physicians, assisting with orientation of new providers, communicating and interpreting by-laws, policies, procedures and methods; communicating preliminary findings on applications and making recommendations for the need for further clarification and/or investigation.* Assists with professional services and resources for BC practitioners (including licensing, certifications, clinical privileges held at other facilities, CME documentation), and independently implements processes which ensure well-organized servicTo view the full job description, click here

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