Credentialing Specialist

Fully Remote

Key Bank Tower

Full time

R185942

Job Description:

The Credentialing Specialist (CS) is responsible for facilitating Intermountain Health’s centralized verification office (CVO) program and will serve as the primary credentialing liaison for hospitals, providers and/or network participating providers regarding credentialing services.

Shift is Monday-Friday Business hours. No Holidays, Weekends, or Nights. While a candidate living within the Intermountain footprint (, UT, NV, CO, WY & MT), we are committed to offering flexible work options where approved and stated in the job posting.

However, we are currently not considering candidates who reside or plan to reside in the following states:
California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Virginia Vermont, Washington. Please note that Video phone screens and interview(s) through Microsoft Teams will be required as well for fully remote position. Essential Functions

• The CS will facilitate all aspects of Primary Source Verification program with accuracy and attention to detail. Including but not limited to written verification of applicants education and/or training, experience,

• They will review and ensure accuracy of provider information in credentialing software

• directly with the source for all applications.

• 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.

Skills

• Medical Staff Credentialing

• Communication

• Organizing

• Health Insurance Portability & Accountability Act (HIPAA)

• Hospitals

• Health Care

• Data Entry

• Customer Service

• Critical Thinking

• Multi-Tasking

Minimum Qualifications

• 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 One Note, and must be comfortable learning a sophisticated data base program.

• 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 communication skills.

• Working knowledge of TJC, NCQA standards as well as state and federal guidelines and requirements

• Graduation from High School or equivalent, required

• Knowledge of medical terminology required

Preferred Qualifications

• Bachelor’s Degree from an accredited institution. Degree will be verified.

• 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)

• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) within five (5) years of employment.

• Minimum of one year experience in administrative work.

• Experience as a medical staff coordinator, medical staff credentials specialist or privileging coordinator.

• One year experience in healthcare, legal or insurance environment.

Physical Requirements

• Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.

• Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as…