Scheduled Hours
40
Position Summary
This position is responsible for initiating, preparing/coordinating, and monitoring the privileging and credentialing process for faculty and staff, practitioners, and allied health professionals. Will work closely with the Directors, Billing Operations, Medical Staff Offices (MSOs), Credentialing Verification Office (CVO), Washington University Physician Network (WUPN) and Department of Medicine divisions.
Job Description
Primary Duties & Responsibilities:
Credentialing/Privileges
- Manages and tracks initial privileging process for all new providers throughout each fiscal year.
- Assists with hospital reappointment for active Department of Medicine providers.
- Responsible for initiating hospital privilege process and application paperwork.
- Advises faculty and allied health professionals regarding the completion of application paperwork.
- Notifies Department of Medicine personnel of new providers.
- Serves as a liaison between multiple hospital Medical Staff Offices (MSOs), Credentialing Verification Office (CVO), Department of Medicine divisions and providers.
- Assists MSOs with collection of documentation necessary for obtaining hospital privileges.
- Advises Nurse Practitioners on completion of their collaborative practice agreements.
- Responsible for obtaining, reviewing and tracking Department of Medicine Collaborative Practice Agreements.
- Serves as a liaison between WUSM General Counsel Office and Department of Medicine divisions.
- Assists with the professional liability process.
- Tracks all steps in “IM New Physicians” spreadsheet.
- Attends and coordinates Credentialing process meetings, as needed.
Credentialing/Billing
- Manages, prepares and coordinates Department of Medicine provider enrollment with the Government and Managed Care Plans, Washington University Physician Network and all Out of State Medicaid applications. Includes completion of out-of-state applications and WUPN load sheets.
- Assists WUPN with reappointment for active Department of Medicine providers.
- Assists Directors, Billing Operations in regards to untimely provider packets.
- Serves as a liaison between Department of Medicine divisions and WUPN.
- Works the Epic Claim Edit Task Manager relating to Credentialing Claim Edits.
- Creates new accounts and Incident-To Supervising Providers to the Epic dictionary.
- Adds provider numbers and termination dates to the Epic dictionary.
- Maintains the Epic dictionary for Department of Medicine providers.
- Maintains provider licenses.
- Key resource regarding the credentialing process for the Department of Medicine divisions, billing staff, providers and other Departments.
- Tracks all steps in “IM New Physicians” spreadsheet.
- Attends and coordinates Credentialing process meetings, as needed.
Administrative
- Carries out various special projects as directed/other duties as assigned.
Working Conditions:
Job Location/Working Conditions
- Normal office environment
Physical Effort
- Typically sitting at desk or table
- Repetitive wrist, hand or finger movement
Equipment
Diversity is a core value at Washington University School of Medicine and in the Department of Psychiatry. We are committed to building and sustaining inclusive and equitable working and learning environments for all students, staff, trainees, and faculty. We believe that building a diverse team enriches us individually and as a department by exposing us to a broad range of ways to understand and engage with the world, identify challenges, and to discover, design and deliver solutions. In order to achieve these objectives, candidates are expected to align with the school's mission of promoting inclusive excellence. They should be prepared to further this objective within Washington University and collaborate with diverse communities of students, faculty, staff, trainees, and patients. Visit our Websites to learn more about DEI initiatives in the Department of Psychiatry (https://psychiatry.wustl.edu/diversity-equity-inclusion-2/) and at WUSM (https://diversity.med.wustl.edu/).
The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.
Required Qualifications
Education:
High school diploma or equivalent high school certification or combination of education and/or experience.
Certifications:
No specific certification is required for this position.
Work Experience:
No specific work experience is required for this position.
Skills:
Not Applicable
Driver's License:
A driver's license is not required for this position.
More About This Job
Preferred Qualifications:
Preferred Qualifications
Education:
No additional education beyond what is stated in the Required Qualifications section.
Certifications:
No additional certification beyond what is stated in the Required Qualifications section.
Work Experience:
Credentialing (1 Year)
Skills:
Deadline Management, Detail-Oriented, Human Resource Management System, IDX Systems, Managed Care, Microsoft Excel, Microsoft Word, Provider Credentialing, Team Collaboration, Working Independently, Written Communication
Grade
C09-H
Salary Range
$22.78 - $34.21 / Hourly
The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.
Questions
For frequently asked questions about the application process, please refer to our External Applicant FAQ.
Accommodation
If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.
All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.
Pre-Employment Screening
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.
Benefits Statement
Personal
Up to 22 days of vacation, 10 recognized holidays, and sick time.
Competitive health insurance packages with priority appointments and lower copays/coinsurance.
Take advantage of our free Metro transit U-Pass for eligible employees.
WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
Wellness
Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
Family
We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered.
WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/
EEO/AA Statement
Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.
Diversity Statement
Washington University is dedicated to building a diverse community of individuals who are committed to contributing to an inclusive environment – fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.
