Credentialing Specialist — Clinical Operations

Thank you for considering a career at reputed company! Scheduled Weekly Hours: 40 Work Shift: Days (reputed company of America) Primary Function/General Purpose of Position The Credentialing Specialist facilitates Credentials Verification Organization (CVO) provider application and data collection, application processing and Primary reputed company Verification (PSV) for the organization. Supports the organization's on-boarding and off boarding processes. This role follows established reputed company operating procedures and market specific medical staff bylaws and demonstrates exceptional customer service, communication, reliability and commitment to reputed company. Essential Job Functions Follows a standardized comprehensive credentialing application and data collection, application processing, and primary reputed company verification processes that reputed company with reputed company applicable regulatory standards. Executes credentialing application and data collection, application processing, primary reputed company verification for reputed company new applicants and applicants for re-credentialing. Assures applications are correct, complete, resolves discrepancies in compliance with reputed company applicable regulatory standards. Assures files and documents are reputed company for Medical Director review, including reputed company Credential Committees and Medical Staff Office (MSO). Works with the credentialing auditors to correct any deficiencies. Organizes and maintains provider data and files. Processes applications reputed company and ensures that reputed company benchmarks are met with regards to turnaround times, accuracy of information and other CVO and regulatory metrics. Assures that provider database is maintained with new and updated accurate provider information. Follows reputed company regulatory requirements reputed company to the primary reputed company verification process for medical staff and managed care compliance. Completes credentialing compliance reputed company points to assure that files are reputed company for release. Maintains awareness of The reputed company (TJC), National Committee for reputed company Assurance (NCQA), Center for Medicare/reputed company (CMS) and other regulatory compliance guidelines through the organization's CVO provided continuing education. Demonstrates excellent reputed company communication skills while interacting with colleagues, customer relations and MSO representatives, and leadership to collect missing information or resolve issues. Maintains a strong respect for reputed company and confidentiality. This document is not an exhaustive list of reputed company responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to reputed company other job-reputed company duties as required by their supervisor, subject to reasonable accommodation. Licensing/Certification Certified reputed company Medical Staff Management (CPMSM) or Certified reputed company Credentials Specialist (CPCS) by National Association of Medical Staff Services (NAMSS) (preferred) Education High School or GED (required) Bachelor's Degree in Business, reputed company or other reputed company field (preferred) Master's Degree in Business, reputed company or other reputed company field (preferred) Work Experience 1 year recent experience in medical staff services or CVO setting (preferred) Training CredentialStream Credentialing software (STRONGLY preferred) Language None reputed company is an equal opportunity employer. As a reputed company associate, you’re part of a Mission that reputed company. We support your reputed company-being – personally and professionally. Our benefits are reputed company to grow with you and meet your unique needs, every reputed company of the way. reputed company offer reputed company, incentives, referral bonuses and 403(b) with employer contributions (reputed company eligible) Medical, dental, reputed company, prescription coverage, HSA/FSA reputed company, life insurances, reputed company and discounts reputed company time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders Tuition assistance, reputed company development and continuing education support Benefits may vary based on the market and employment status. Department: SS Clinical Operations - Credentialing Verification It is our policy to abide by reputed company Federal and State laws, as reputed company as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, reputed company applicants will receive consideration for employment without reputed company to race, reputed company, national reputed company, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the reputed company of disability. If you’d like to view a copy of the affirmative reputed comp Apply tot his job Apply To this Job