Credentialing Specialist

Job Description:

The CS will facilitate all aspects of centralized credentials verification program with accuracy and attention to detail. They will enter all information regarding providers into the credentialing software and other programs as needed. The CS processes initial credentialing and re-credentialing applications capturing primary source documentation in computer databases, prepares and keeps reports of credentialing activities like accreditation, membership, or facility privileges and makes sure the applications comply with applicable laws, regulations, procedures and policies. The CS needs to stay on top of any changes to credentialing guidelines and make sure all records and applications are up to date and ready to be reviewed by Credentialing Committees.
The CS will have frequent contact with system wide medical staff services professionals, administrators and/or medical directors, and practitioners. The CS must keep the Medical Staff Services Director apprised of problems or concerns and perform other work related duties as assigned.

Job Skills

• Credentialing
• Medical Staff Training
• Provider Credentialing
• Medical Industry
• Medical Terminology
• Teamwork
• Medical Services
• Office Administration
• Databasing
• NCQA Standards

Minimum Qualifications

• Demonstrated understanding of medical terminology.
• Experience working in the medical field in an administrative or support role.
• This position requires effective verbal and written communication skills and the ability to work well with a team. This position will utilize computer technology to perform job functions.
• Must have intermediate level experience with Word, Excel, Adobe and OneNote, and must be comfortable learning a sophisticated data base program.
• Demonstrated workload management/prioritization skills.
• The incumbent must be able to work with a variety of health care professionals, able to function with minimal supervision, be self-motivated, keep confidences, have ability to adapt to frequent interruptions, have ability to solve problems and make decisions and possess organization and good communications skills.  
• Demonstrated ability to work through frequent interruptions, solve problems, make decisions, and possess excellent organization and communications skills.
• Working knowledge of TJC, NCQA standards as well as state and federal guidelines and requirements. 

Preferred Qualifications:

• Bachelor’s Degree from an accredited institution.  Degree will be verified.
• Certification by the National Association of Medical Staff Services is preferred:
• Certified Provider Credentialing Specialist (CPCS) by the National Association of Medical Staff Services (NAMSS) or
• Certified Professional Medical Services Management (CPMSM) by the National Association of Medical Staff Services (NAMSS)

Physical Requirements:

Physical Requirements

• Sedentary

Location:

SelectHealth - Lone Tree

Work City:

Lone Tree

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

$21.20 - $32.26

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.