Credentialing Specialist

Profile

Credentialing Specialist','Full-time','Administrative/Clerical','8am - 4:30pm days','8am - 4:30pm days','80','80','None','None','WASHINGTON-BREMERTON-HARRISON MEDICAL CENTER','','!*!CHI Franciscan Health has an opportunity for a Credentialing Specialist to join the team at Harrison Medical Center's Bremerton Campus!
 
Monday through Friday
Day Shift
Friendly, collegial, professional work environment!
 
CHI Franciscan Health has exciting and rewarding careers with competitive salaries and benefits.  We are a family of hospitals, health care services, and medical providers delivering compassionate care to people throughout the South Puget Sound. We are part of Catholic Health Initiatives, one of the largest not-for-profit health care systems in the country.  Our mission is to deliver high quality care that meets our patients' medical needs while providing emotional and spiritual support to patients and their families. We believe this three-part approach — physical, emotional, and spiritual — is essential to healing the whole person. Come join our team!

JOB SUMMARY 
Performs the provider credentialing and database maintenance processes based on department and organizational policy, procedure, and standards and guidelines set forth by The Joint Commission (TJC) and the National Committee for Quality Assurance (NCQA), URAC, State and Federal Government, and health plan payors. 
 
Incumbents are responsible for:
1) ensuring accurate and timely credentialing and subsequent submission of provider information to support appointing and claims submission;
2) ensuring accurate and timely data entry of provider demographics; and
3) performing as the point of contact for internal stakeholders, vendors and providers.. 

ESSENTIAL DUTIES: 

Performs credentialing and re-credentialing processes according to departmental policies and procedures, various accreditations standards, health plan, state and Federal requirements.
Provides assistance and guidance to physicians and professional providers through the hospital privileging processes.
Prepares files, letters and summaries for Medical Staff Office and/or Franciscan Medical Group (FMG) Credentialing Committee review.
Maintains all written/verbal correspondence and data collection records regarding provider status and credentialing process.
Assists with productivity reporting.
Assists in preparation for health plan delegation oversight audits.
','!*!Education/Work Experience:
 

Two (2) years practitioner credentialing experience, or
Three (3) years administrative experience, that demonstrates attainment of the requisite job knowledge skills/abilities, preferably in a healthcare setting.

Licensure/Certification

Certified Provider Credentialing Specialist (CPCS) preferred, or able to obtain within two years of meeting prerequisites.

 ','We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.','2017-R0144326','CHI-Franciscan System Services','Credentialing Specialist

Company info

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