Credentialing Specialist
Scottsdale, AZ - USA
Job Summary
Remote or Onsite (Scottsdale AZ)
Are you ready for your next opportunity
When you work with Tribal Health you work with talented and passionate teams who are making an impact on Native health disparities.
The Credentialing Specialist manages the successful on-boarding and continual verification of physicians and advanced practice professionals credentials at each location. Serves as liaison between each hospitals credentialing department and Tribal Health.
Duties and Responsibilities
- Prepare reports of credentialing activities such as accreditation licensing and facility privileges.
- Maintain all necessary databases and applications used for input ofnew information and updates existing information.
- Establish a positive and collaborative relationship with a customer service focus for incoming providers as they credential and on-board with Tribal Health.
- Review facility-specific rules and regulations to ensure constant compliance with all internal processes.
- Knowledge of credentialing programs and verification sites.
- Verify healthcare credentials using primary source verification including but not limited to conduct necessary background checks licensing boards review license applications obtain education and prior work history information hospitalaffiliationsand references.
- Responsible for developing and maintaining positive professional collaborative relationships with clients and ensuring customer satisfaction.
- Analyze interpret and draw inferences from research findings and prepare reports.
- Knowledge of related accreditation and certification requirements.
- Work with service units communicate and problemsolve to ensure compliance with all aspects of the client contract.
- Knowledge of contract requirementsregardingprovider eligibility and requirements.
- Promote and support a positive working relationship and effective team building
- Attend meetings as requested or required by service unit administration and/ or TribalHealth.
- Other duties as assigned
Knowledge Skills Abilities and Other Qualifications
- Minimum of 2 years of experiencedirectly relatedto hospital medical staff or managed care credentialing
- Minimumof a high school diploma or GEDrequire
- Proficient use of Microsoft Office (Word Excel and PowerPoint) and DocuSign.
- Demonstrated ability to communicate verbally and in writing throughout all levels of the organization both internally and externally.
- Strong communication skills
- Ability to work well as a cooperative and supporting member of the team.
- Ability to concentrate and pay close attention to details
- Knowledge of and sensitivity to cultural and language differences
- Excellent interpersonal skills in handling interactions with operational staff providers other agencies groups and team members.
Tribal Health Perks:
- Competitive Pay
- Per Diems to help with travel and lodging expenses for those that qualify
- Medical Dental and Vision benefits
- 401K
- Paid Time off and 11 Federal Holidays
- Student Loan Repayment Assistance
- 100% Company paid tuition to further your education
- Other voluntary benefits; Disability Critical illness and more
Native American Preference:Preference in filling vacancies is given to qualified Native American candidates in accordance with federal law (Title 25 USC Section 472). FormBIA-4432should be submitted with the application. For more information about Native American Preference in employment pleaseclick here.
Equal Opportunity Employer:Tribal Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability or protected veteran status. We value the skills experience and dedication that veterans bring to the workplace and qualified veterans are encouraged to apply. Tribal Health is also committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application procedures. If you need assistance or an accommodation due to a disability please let us know by emailingor by calling . For more info on EEOC please visitEEOC KNOW YOUR RIGHTS
Work Environment
Physical demands: | The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job the employee may be required to frequently stand walk sit bend twist talk hear and perform repetitive motions. There may be prolonged periods of sitting keyboarding reading as well as driving or riding in transport vehicles. Specific vision abilities required by this job include reading distance computer and color vision. Talking and hearing are essential to communicate with clients vendors and staff. Overnight travel may be from time to time. |
Mental demands: | There are a number of deadlines associated with this position. The employee must be able to handle frequent interruptions and must also multi-task and interact with a wide variety of people on various and at times complicated issues. |
Other: | |
Confidentiality: | All employees must uphold all principles of confidentiality and patient care to the fullest extent. This position has access to sensitive information and a breach of these principles will be grounds for immediate termination |
Background Investigation: | This position may be subject to a 101-630 background check in an effort to ensure compliance with public law 101-630 Indian child protection and family violence prevention act. Candidates for positions that require a 101-630 background check must be able to successfully pass a background and character investigation in compliance with pl 101-630. |
Drug Screening: | All applicants must successfully pass a pre-employment drug screening prior to beginning employment and will be subject to random drug testing. |
Required Experience:
IC
About Company
Tribal Health transforms Native healthcare by bringing clinical expertise and culturally sensitive care to every engagement.