What are the responsibilities and job description for the Credentialing Coordinator Sponsor position at CommonSpirit Health?
Hello Humankindness
Arizona General Hospital Mesa is a 50 bed non-profit facility providing quality health care to patients and communities in and around Mesa, Arizona. We are part of CommonSpirit Health which operates 139 hospitals and more than 1,000 care sites across 21 states, making our services accessible to nearly 1 in 4 U.S. residents.
If you are committed to social justice, health equity, and prepared to deliver care in new, innovative ways, you belong with us.
For the health of our community ... we are proud to announce that we are a tobacco-free campus.
Responsibilities
The Credentials Coordinator is responsible for coordinating the credentialing re-credentialing and payer enrollment process for Arizona General Hospital -Phoenix and contracted providers in accordance with the Health Plans Delegated Credentialing Agreements Physician Billing Services policies and procedures industry best-practices and regulatory requirements. Responsible for the daily credentialing operations including resolution of non-responsive providers and working with various clinic managers and the hospital medical staff office to ensure successful and timely completion of the delegated credentialing and re-credentialing process.
- Maintains up-to-date physician database of all applications, enrollment status, demographics, medical licenses, drug enforcement administration certificates, professional liability insurance, etc.
- Responsible for the accuracy and integrity of data entered into the credentialing database system.
- Assist in designing/compiling other data supporting various statistics utilized internally to monitor operations.
- Responsible for continuous collection of information required to comply with delegated agreements and credentialing policies.
- Conducts credentialing database training for new hires, and refresher training for existing staff. Provides input for training materials and job aids.
Dignity Health now offers an Education Benefit program for benefit-eligible employees after 180 days. This program provides debt relief and student loan assistance to help you achieve your goals. Full-time employees can receive up to $18,000 over five years, while part-time employees can receive up to $9,000.
Qualifications
Minimum
- High School Diploma/GED
- Three (3) years experience in a Health Care Plan Credentialing/Provider Relations and/or auditing setting or Health Care Enrollment.
- Proficient with CACTUS Software or similar credentialing system Intermediate Microsoft programs skills (MS Word Excel Power Point).
- Works well under stress and with shifting priorities.
- Builds successful customer relationships excellent oral and written
Preferred
Bachelors degree or Certified Provider Credentialing Specialist (CPCS)
Five (5) years experience in a Health Care Plan Credentialing/Provider Relations and/or auditing setting or Health Care Enrollment.
Salary : $18,000
