CREDENTIALING SPECIALIST

Summary


Who We Are:


LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.


Potential for hybrid remote following training and functioning independently with strong critical thinking skills.

About the Role:

• Under general supervision, performs the credentialing functions related to the initial and/or reappointment process for all LifeBridge Health providers. Provides administrative support to Credentialing Committees at LifeBridgeHealth System Hospitals as necessary. New credentialing database, CREDENTIALSTREAM to go live in February!!

KEY RESPONSIBILITIES;

• Manages the documentation of the initial and/or reappointment application process at all LifeBridge facilities.
• Performs administrative duties and verifications within established policy and procedures and State and Joint Commission requirements.
• Initiates sending reappointment packet to provider and processes initial appointments based on departmental assignments.
• Completes required data entry into provider database.
• Completes required verification of information for assigned credentials files.
• Maintains accurate automated data files and ensures the complete and accurate maintenance of credentials files in assigned areas.
• Upon file completion, prepares credentials file for Chief's signature.
• Prepares credentials files for review at hospital specific Credentials Committee meetings.
• Tracks credentialing information through various committees.
• Works on special projects as needed.
• Verifies accuracy of required information.
• Specialist will verify via primary source (when possible) for each application:
• Current/prior hospital affiliations; Professional references; All completed verifications will be filed in the credentials file in appropriate order.
• Maintains a comprehensive credentialing database and prepares reports from physician profiles.
• Maintains accurate automated data files for assigned credentialing departments at all times.
• Prepares a variety of reports utilizing the credentialing software.
• Responsible for independent reporting to track necessary department-assigned providers receive applications in a timely fashion and are followed-up on according to established departmental timeframes.
• Specialist is responsible for querying reports and tracking files monthly.
• Displays quality customer service to internal and external customers.
• Responds to customers within one business day.
• Displays an understanding and awareness of the Hospital's Mission and Vision Statements.
• Displays a commitment to the value of teamwork by building strong relationships with internal and external customers.

REQUIREMENTS;

• Education: HS Diploma/GED required, AA degree preferred
• Experience: 1-3 years of prior credentialing experience preferred. Will consider candidates with payer enrollment experience.

Salary range $20 to $30 based on experience and internal equity

Additional Information

What We Offer:


Impact: Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients.


Growth : Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification.


Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support - improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license.


Benefits : Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on job), comprehensive health plans, free parking, and wellness programs.



Why LifeBridge Health?


With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in the Baltimore region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital, and Levindale Hebrew Geriatric Center and Hospital.


Our organization thrives on a culture of CARE BRAVELY-where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare.


LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression.