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CHI Memorial Hospital now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health is once again the only hospital in the Chattanooga area to be named a Best Regional Hospital by U.S. News & World Report. We are proud to be the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia. We offer the following benefits to support you and your family: On-site childcare with extended hours Care@Work premium account for additional support with children pets dependent adults and household needs Employee Assistance Program (EAP) for you and your family Paid Time Off (PTO) Health/Dental/Vision Insurance Flexible spending accounts Voluntary Protection: Group Accident Critical Illness and Identify Theft Adoption Assistance Tuition Assistance for career growth and development Matching 401(k) and 457(b) Retirement Programs Wellness Program Additional incentives for eligible full time day shift and night shift opportunities
Responsibilities:Reporting to the Network Credentialing Manger, you will be responsible for credentialing process for re-credentialing for the members of the MHS Network. Respectful of highly sensitive issues and documents.Duties Include, but not limited toProcessing re-credentialing applications as applicable according to the MHS policy /procedure and NCQA. Assisting in new applications as needed.Provides administrative support to the MHS Director, Committees.Participate in delegation auditsWork with Credentialing Committee and Board of Directors to interpret, explain andfollow guidelines established by the Network.Monitor and revise credentialing forms as needed.Monitor, maintain files including Licensure, DEA, Insurance, other updates.Basic clerical functions including faxing, copying and filing.Timely follow up on pending credentialing issues.Other duties as assigned.
Qualifications:Associates Degree or equivalent work experience of 2-5 years in a MedicalStaff office, NAMSS certification or achieved within guidelines of the program.
Prior Credentialing experience strongly preferred
Microsoft / Google products or other spreadsheets databases,customer relations, and excellent telephone skills required. MSOW CredentialingSoftware. Excellent written and oral communication skills. Excellent presentation andpublic speaking skills. Must be a self starter and have a proven record of workingindependently. Must have a professional appearance and demeanor.
Full Time
$42k-53k (estimate)
06/23/2024
07/11/2024
commonspirit.org
CHICAGO, IL
>50,000
2019
NGO/NPO/NFP/Organization/Association
LLOYD DEAN
$5B - $10B
Hospital
CommonSpirit is a Catholic hospital chain that operates 142 hospitals in the West, Southwest & Midwest that provides inpatient and outpatient healthcare services for patients.
The following is the career advancement route for Credentialing Specialist positions, which can be used as a reference in future career path planning. As a Credentialing Specialist, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Credentialing Specialist. You can explore the career advancement for a Credentialing Specialist below and select your interested title to get hiring information.
If you are interested in becoming a Credentialing Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Credentialing Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Credentialing Specialist job description and responsibilities
A certified professional credentialing specialist ensures that staff members of a facility maintain licenses, training, and certifications based on federal and state law.
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A credentialing specialist can have certificates that will prove useful to their field.
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Credentialing specialists also ensure that any services provided by medical facilities meet the required standards as set by state and federal government agencies.
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Credentialing specialists are part of an organization's administrative staff; they review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures.
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Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Credentialing Specialist jobs
Credentialing specialists can often find work with a high school diploma or the equivalent.
01/25/2022: Kingsport, TN
Some employers strongly prefer credentialing specialists who have a Certified Provider Credentialing Specialist (CPCS) credential.
03/01/2022: Parkersburg, WV
While an associate degree may not be required for a position as a credentialing specialist, some employers may prefer applicants with a two-year degree.
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Make Use Of Advanced Software For Monitoring.
01/18/2022: New London, CT
Stay Updated with the Coalition for Affordable Quality Healthcare's Credentialing Program.
01/31/2022: Portsmouth, OH
Step 3: View the best colleges and universities for Credentialing Specialist.