[Hiring] Credentialing Specialist @Intermountain Health

Role 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.

Essential Functions

• Facilitate all aspects of Primary Source Verification program with accuracy and attention to detail.
• Written verification of applicants' education and/or training, experience.
• Review and ensure accuracy of provider information in credentialing software directly with the source for all applications.
• Process initial credentialing and re-credentialing applications capturing primary source documentation in computer databases.
• Prepare and keep reports of credentialing activities like accreditation, membership, or facility privileges.
• Ensure applications comply with applicable laws, regulations, procedures, and policies.
• Stay current on credentialing guidelines and ensure all records and applications are up to date.
• Frequent contact with system-wide medical staff services professionals, administrators, and practitioners.
• Keep the Central Verification Office (CVO) Leaders apprised of problems or concerns.
• Incorporate accreditation and regulatory standards requirements into medical staff activities.
• Work on maintenance of provider records including expirable items and other necessary documents.

Qualifications

• Effective verbal and written communication skills.
• Ability to work well with a team.
• Intermediate level experience with Word, Excel, Adobe, and OneNote.
• Comfortable learning a sophisticated database program.
• Able to work with a variety of health care professionals.
• Function with minimal supervision and be self-motivated.
• Ability to keep confidences and adapt to frequent interruptions.
• Problem-solving and decision-making skills.
• Organizational 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.

Requirements

• 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 NAMSS.
• CPCS or 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 to see and read information, labels, documents, monitors, and assess customer needs.
• Frequent interactions with providers, colleagues, customers, patients/clients, and visitors requiring verbal communication.
• Manual dexterity of hands and fingers for manipulating complex and delicate supplies and equipment.
• For roles requiring driving: expected to drive a vehicle which requires sitting, seeing, and reading signs, traffic signals, and other vehicles.

Benefits

• Generous benefits package covering a wide range of programs to foster a sustainable culture of wellness.

Location

• Key Bank Tower
• Salt Lake City, Utah

Scheduled Weekly Hours

• 40

Compensation

• The hourly range for this position is $24.60 - $37.46, dependent upon experience.