Credentialing Specialist
Job Location:
London, KY - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
Welcome to CHI Saint Joseph Medical Group a full service network of primary care services specializing in family internal geriatric and pediatric care serving 88 locations across central and Eastern Kentucky. CHI Saint Joseph Medical Group is dedicated to delivering customized care based on the unique needs of our patients and is recognized as a Best Place to Work in Kentucky for two years in a row (2023-2024).
CHI Saint Joseph Health is part of CommonSpirit Health a non-profit Catholic health system dedicated to advancing health for all people. With approximately 175000 team members and 25000 physicians and advanced practice clinicians.
Our commitment to serve the common good is delivered through the dedicated work of thousands of physicians advanced practice clinicians nurses and staff; through clinical excellence delivered across a system of 140 hospitals and more than 2200 care centers serving 24 states.
Every day you will manage daily credentialing operations including resolution of non-responsive providers. You will also work collaboratively with various clinic managers and the hospital medical staff office to ensure the successful and timely completion of the delegated credentialing and re-credentialing process.
To be successful in this role you will demonstrate a comprehensive understanding of credentialing regulations and processes possess strong organizational and communication skills and effectively manage complex administrative tasks to ensure provider compliance and efficient operational flow.
- Facilitates credentialing and re-credentialing for all physicians.
- Assist with processing pre-applications provisional reviews and periodic review of privilege criteria.
- Systematically evaluate work processes.
- Participate in conception development and implementation of new programs.
- Maintains the medical staff database to ensure the upmost integrity of the system.
- Degree in Business or health related field and Experience with Microsoft Word Excel and Website applications upon hire
Preferred
- Certified Provider Credentialing Specialist upon hire or
- Prof Medical Services Manager upon hire
Required Experience:
IC
About Company
Discover how CommonSpirit Health is building healthy communities, advocating for the poor and vulnerable, and innovating how and where healing happens.
