Medical Staff Credentialing Specialist

Our Mission: Quality compassionate care for all.

Our Vision: Reimagine health care through connection service and innovation.

Our Core Values: Be Kind Trust and Be Trusted Work Together Strive for Excellence.

Qualifications:

• Minimum of one (1) of the following required:
  • Minimum of one (1) year experience in provider credentialing.
  • Minimum of two (2) years experience in a medical setting.
• Associates degree in Business Administration or other related field preferred.
• Minimum of one (1) of the below certifications must be successfully obtained within three (3) years of hire:
  • Certified Provider Credentialing Specialist (CPCS) Certification
  • Certified Professional Medical Staff Management (CPMSM)
• Ability to type at least 65 wpm accurately and consistently required.
• Advanced working knowledge of Microsoft Office Suite required. Possess ability to learn other software as needed.
• Excellent organizational skills detail-oriented a self-starter possess critical thinking skills and be able to set priorities and function as part of a team as well as independently.
• Commitment to working in a team environment and maintaining confidentiality as needed.
• Excellent verbal and written communication skills including the ability to communicate effectively with various audiences.
• Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact professionalism and diplomacy.

Job Specific Duties:

• Assists with the on-boarding process of Medical Providers.
• Coordinates the credentialing and privileging processes for AHPs (Allied Health Providers).
• Processes provider-credentialing applications in accordance with accreditation standards regulatory requirements and LH policies and procedures.
• Researches examines enters data files and gathers all information to process received information to support the credentialing process.
• Verifies researches and responds to inquiries from providers and other stakeholders pertaining to provider participation and credentialing status.
• Responsible for primary source verification for medical school residency fellowship NPDB DSHS FSMB as applicable to assigned area(s).
• Records minutes at assigned meetings develops agendas and houses records.
• Maintains confidentiality of files and information per department procedure.
• Initiates and supports the provider application process by sending receiving and analyzing practitioner documents. Performs data import to determine completeness in preparation for the credentials verification process.
• Responsible for gathering verifying and evaluating highly confidential and sensitive health care practitioner credentials consistent with departmental guidelines and accreditation standards.
• Responds to all practitioner client health plan and internal inquiries in a timely manner.
• Monitors expiring licensure board and professional certifications and other documents pending expiration within the prescribed timeframe.
• Keeps leadership informed of potential credentialing issues.
• Performs administrative tasks as applicable to assigned area(s).

The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge skills and abilities required for the job. Not all of the duties may be assigned to a position.

Maintains regular and consistent attendance as scheduled by department leadership.

Shift:

Schedule:

Logan Health operates 24 hours per day seven days per week. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.

Notice of Pre-Employment Screening Requirements

If you receive a job offer please note all offers are contingent upon passing a pre-employment screening which includes:

• Criminal background check

• Reference checks

• Drug Screening

• Health and Immunizations Screening

• Physical Demand Review/Screening

Equal Opportunity Employer

Logan Health is an Equal Opportunity Employer (EOE/AA/M-F/Vet/Disability). We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status race color gender sexual orientation religion national origin age disability or any other basis protected by applicable law. If you require accommodation to complete the application testing or interview process please notify Human Resources.