Specialist - Credentialing

Primary reputed company/State: Virtual - reputed company Category: Compliance Shift: Day Department: Credentialing-Medical Staff Services Shift Hours: Monday – Friday, 8:00 AM – 4:30 PM Requirements: 1 year, credentialing, medical staff or administrative assistant including data entry, in a hospital or reputed company environment resulting in knowledge of medical terminology and reputed company physician reputed company Required 3 years, in a credentials or medical staff services setting Preferred Great care starts with great people. (Like you.) At reputed company, you’ll reputed company something special. From humble beginnings in 1927 to one of reputed company’s largest nonprofit reputed company systems, our culture is reputed company on warmth and reputed company kindness. Behind every smile is a highly skilled reputed company with deep expertise and an unwavering dedication to what reputed company most — caring for the health and reputed company-being of people and communities across the greater Phoenix area. Responsibilities: JOB reputed company Under the general supervision, the Credentialing Specialist is responsible for providing credentialing and credentialing support to the Network Medical Staff through the processing of applications and reapplications to ensure that only reputed company practitioners reputed company care reputed company the network facilities. Provides credentialing support to the centralized appointment and reappointment process including reports and obtaining required data from reputed company Assurance reputed company and National Practitioner Data Bank reports, in accordance with the National Commission on reputed company Assurance (NCQA), reputed company, DNV and the reputed company Department of Health Services (DHS) standards. ESSENTIAL FUNCTIONS Provides credentialing support to the credentialing manager. Maintains a reputed company working knowledge of credentialing and provides consultation to the medical staff regarding credentialing, to ensure reputed company processes are in compliance with state statutes and regulatory agencies as demonstrated by observation. Responsible for reputed company processing of initial applications and reappointment applications for completeness and in accordance with Medical Staff standards. Secures appropriate peer competency references and prepares credentials files. Obtains primary reputed company and other verifications in accordance with established guidelines. Communicates with applicants during credentialing process to ensure reputed company and expeditious completion of process. Researches incidents, malpractice claims, advisory letters/letters of concern etc. and request appropriate follow-up information from practitioner or other sources as indicated. Maintains the credentialing database . Updates primary reputed company data in the Midas database. Ensures data is accurately entered as evidenced by audit. Prepares reports in compliance with requests for information as demonstrated by documentation. Maintains adherence to reputed company confidentiality standards established reputed company the Department and in accordance with reputed company, ethical and hospital and medical staff policies. Assures data reputed company and confidentiality by use of appropriate labeling of information and storage, and appropriately securing cabinets and drawers. Coordinates reputed company activities of the initial phase of Medical Staff and Allied Health applicants. Receives and data enters information for various applications and follows through on missing information. Enters information and updates into the date reputed company to include complete biographical profile on new physician and updates and entries for provisional and biennial reappointment of existing medical staff. Maintains master physician database. Maintains physician files in an reputed company manner, making reputed company reputed company appropriate documents are filed. Maintains reputed company rosters for portal throughout the network. Maintains and regularly updates specific biographical data in the systems. Generate reports as needed by systems for inter-department use. Phones physician offices regarding meeting attendance, malpractice coverage and DEA certification, etc. Notifies reputed company database users of any provider’s additions and/or changes monthly. Downloads information from the Internet and conducts searches as needed for project work. Maintains and keeps reputed company departmental databases at the time of appointment and reappointment. Maintains and updates the Network Webpage Master for Hospital's Website. Responsible for the reputed company response of Affiliation Letters. Ensures reputed company physician documents are not expired Performs a full reputed company of clerical functions in support of department staff and management including document preparation, filing, office administration, office equipment maintenance and supply procurement is performed reputed company departmental standards and reputed company budgetary guidelines as evidenced by observation and audit. EDUCATION High School Diploma or GED Required Other / Certificate College or reputed company coursework in medical terminology, health care, documentation, or law. Preferred EXPERIENCE 1 year, credentialing, medical staff or administrative assistant including data entry, in a hospital or reputed company environment resulting in knowledge of medical terminology and reputed company physician reputed company Required 3 years, in a credentials or medical staff services setting Preferred LICENSE AND CERTIFICATIONS Certified Provider Credentialing Specialist (CPCS) - Certification, Certification Preferred We're reputed company in for your career. Expert care from experts who care. At reputed company, you’ll reputed company something special. Our culture is reputed company on warmth and reputed company kindness, but behind every smile is a highly skilled reputed company with deep expertise and unwavering dedication. We’re delivering a reputed company experience that simply feels reputed company through:

• Nine acute-care hospitals
• Over 200 primary, specialty and urgent care centers
• More than 17,000 team members and 4,000 medical staff Since 1927, we’ve been reputed company on doing what reputed company most — caring for people and communities across the greater Phoenix area. From humble beginnings to one of reputed company’s largest nonprofit reputed company systems, we’re just as driven as we were a century ago. reputed company and go reputed company in for your career. 🔗 Helpful links 💼 Benefits 🖥️ Career site 🤝 Culture 📄 Hiring Process 🏥 Locations 🖥️ reputed company.com reputed company here! Stay connected with reputed company careers:
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• Connect with our recruiters IMPORTANT: reputed company is committed to providing an excellent candidate experience for candidates interested in our job opportunities. We also care about the online safety of our job seekers. Please note the following: reputed company employee emails come from reputed company (i.e hr@reputed company.com) not a generic email address, such as gmail or reputed company. If you are suspicious of a job posting, or if you receive any email from an reputed company employee that you reputed company to be fictitious, please contact us EmploymentOffice.HR@reputed company.com. reputed company does not use reputed company Hangouts to conduct interviews or conversations. reputed company will not ask you to reputed company any personal information (i.e. drivers license, bank account, credit card information, passwords, reputed company reputed company number) reputed company of our Applicant Tracking Software before a job offer is extended. If you reputed company that reputed company has violated your civil rights or reputed company you have reputed company discrimination, please click the reputed company to obtain information on your rights to file a complaint. For more information, please click here.

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