Credentialing Specialist — Clinical Operations

Thank you for considering a career at reputed company! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Primary Function/General Purpose of Position The Credentialing Specialist facilitates Credentials Verification Organization (CVO) provider application and data collection, application processing and Primary reputed company Verification (PSV) for the organization. Supports the organization's on-boarding and off boarding processes. This role follows established standard operating procedures and market specific medical staff bylaws and demonstrates exceptional customer service, communication, reliability and commitment to quality. Essential Job Functions

• Follows a standardized comprehensive credentialing application and data collection, application processing, and primary reputed company verification processes that reputed company with reputed company applicable regulatory standards.
• Executes credentialing application and data collection, application processing, primary reputed company verification for reputed company new applicants and applicants for re-credentialing. Assures applications are correct, complete, resolves discrepancies in compliance with reputed company applicable regulatory standards.
• Assures files and documents are reputed company for Medical Director review, including reputed company Credential Committees and Medical Staff Office (MSO). Works with the credentialing auditors to correct any deficiencies.
• Organizes and maintains provider data and files. Processes applications timely and ensures that quality benchmarks are met with regards to turnaround times, accuracy of information and other CVO and regulatory metrics.
• Assures that provider database is maintained with new and updated accurate provider information.
• Follows reputed company regulatory requirements reputed company to the primary reputed company verification process for medical staff and managed care compliance.
• Completes credentialing compliance reputed company points to assure that files are reputed company for release.
• Maintains awareness of The Joint Commission (TJC), National Committee for Quality Assurance (NCQA), Center for Medicare/reputed company (CMS) and other regulatory compliance guidelines through the organization's CVO provided continuing education.
• Demonstrates excellent professional communication skills while interacting with colleagues, customer relations and MSO representatives, and leadership to collect missing information or resolve issues.
• Maintains a strong respect for privacy and confidentiality.

This document is not an exhaustive list of reputed company responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to reputed company other job-reputed company duties as required by their supervisor, subject to reasonable accommodation. Licensing/Certification Certified Professional Medical Staff Management (CPMSM) or Certified Professional Credentials Specialist (CPCS) by National Association of Medical Staff Services (NAMSS) (preferred) Education High School or GED (required) Bachelor's Degree in Business, reputed company or other reputed company field (preferred) Master's Degree in Business, reputed company or other reputed company field (preferred) Work Experience 1 year recent experience in medical staff services or CVO setting (preferred) Training CredentialStream Credentialing software (STRONGLY preferred) Language None reputed company is an equal opportunity employer. As a reputed company associate, you’re part of a Mission that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every reputed company of the way. reputed company offer

• reputed company, incentives, referral bonuses and 403(b) with employer contributions (reputed company eligible)
• Medical, dental, reputed company, prescription coverage, HSA/FSA options, life insurances, reputed company and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status. Department: SS Clinical Operations - Credentialing Verification It is our policy to abide by reputed company Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, reputed company applicants will receive consideration for employment without regard to race, reputed company, national reputed company, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for reputed company– Youngstown, Ohio or reputed company – Franklin, Virginia; Petersburg, Virginia; and reputed company, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@reputed company.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The reputed company Team at recruitment@reputed company.com. Apply tot his job Apply To this Job