Credentialing Specialist-Medical Staff Office-Methodist

This position has the ability for remote/hybrid scheduling. Residents in CA NY OR VT WA Washington DC and Puerto Rico are not eligible based on UPHs Geography.

Responsible for coordinating monitoring and maintaining credentialing and recredentialing processes for physicians advanced practice professionals (APP) and other health care professionals specified in the Medical Staff Bylaws Credentialing and Privileging Policy Medical Staff Organization Manual and Peer Review Oversight Policy DNV state federal and other regulatory agencies while working independently and utilizing critical thinking skills. for UnityPoint Health Des Moines (UPHDM) and contracted entities. This position serves as an essential link and resource between senior management operational/clinical leaders and medical staff to coordinate the operational processes and ongoing credentialing privileging and medical staff governance functions for the organization.

At UnityPoint Health you matter. Were proud to be recognized as a Top 150 Place to Work in Healthcare by Beckers Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities no matter what life stage youre in. Here are just a few:

• Expect paid time off parental leave 401K matching and an employee recognition program.

• Dental and health insurance paid holidays short and long-term disability and more. We even offer pet insurance for your four-legged family members.

• Early access to earned wages with Daily Pay tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected we honor the ways people are unique and embrace what brings us together.

And we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

• Assists in the management of the medical staff support function for the entity Medical Staff Organization as outlined in the entity Medical Staff Bylaws
• Coordinates receipt of credentialing and privileging applications following processing and primary source verification by UnityPoint Health Central Verification Office (CVO); performs analysis identification and follow-up of any outstanding items and red flag items ensuring compliance with bylaws policies and procedures DNV state and other regulatory standards; prepares files for review and recommendation by the medical staff through the electronic administrative review module.
• .
• Responsible for the completion of physician and/or APP initial/provisional/ reappointment application files. Follow through with the actions of the Board of Directors concerning applications in a timely and concise manner in order to complete each file updating the database and notify proper areas within the medical center.
• May prepare for and follow through with the monthly Credentials and/or Advanced Provider Professional Credentials Committee meetings. (Agenda meeting notices minutes)
• May prepare monthly credentials report for the Medical Executive Committee and the Board of Directors/Executive Board.

Minimum Requirements

Preferred or Specialized

Education:

High School degree

Two-year college degree

Experience:

Minimum 1 year experience in a Medical Staff office or credentialing .

Windows environment familiarity with credentialing software programs.

License(s)/Certification(s):

Certification as a Certified Professional in Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) following completion of five years of employment. Valid drivers license when driving any vehicle for work-related reasons.

CPCS or CPMSM certified

Knowledge/Skills/Abilities:

Strong communication skills. Must be able to set priorities and schedule and perform duties on a timely basis. Must be able to work efficiently with frequent interruptions deadlines and in a team environment. Must have strong experience with Word Excel and databases

Medical terminology

Other:

Use of usual and customary equipment used to perform essential functions of the position. Must be able to work independently in a remote environment.