What are the responsibilities and job description for the Credentialing Specialist position at Health Alliance?
Job Description
At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.
As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.
UC Health is committed to providing an inclusive, equitable and diverse place of employment.
This is a multi-faceted position encompassing elements of administrative tasks, customer service, and credentialing verifications. Prepares, documents, and completes credentialing data processes including applications and verifications for Medical and Allied Health staff. Performs administrative tasks, such as compiling data from providers, preparing applications, maintaining clean and organized files, and maintaining current documents and enrollments for providers.
Responsibilities
Prepares, documents, and completes credentialing data processes.
Performs regularly recurring administrative tasks for maintaining Payor Enrollment data files.
Training and Self Development.
Customer Service.
Maintains Payor Enrollment data files to support effective entry, filing, storage, and retrieval of data and documents.
Assists department with performance improvement activities, clean up projects, and other duties as assigned.
Update Cactus database with new provider information.
Collates information and prepares credentialing files for review
Follows up on applications submitted..
Submit license, DEAs and malpractice to payors to maintain enrollments.
Update Cactus with demographic and name changes.
Receives, opens, sorts and distributes mail/emails.
Participate in staff training that aligns with recognized improvement opportunities.
Makes customer service a high priority. Listens to, identifies, and responds quickly and appropriately to customer needs, both internal and external customers
Respond in timely manner
Execute required actions
Identify potential problems
Handles confidential materials
Maintain storage of files for orderly retrieval.
Qualifications
Minimum Required: High School Graduate diploma or GED required. | CPCS (Certified Provider Credentialing Specialist) is preferred. 1-4 Years in a business office. Health care and credentialing experience in hospital, physician office, or managed care preferred.
At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.
As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.
UC Health is committed to providing an inclusive, equitable and diverse place of employment.
This is a multi-faceted position encompassing elements of administrative tasks, customer service, and credentialing verifications. Prepares, documents, and completes credentialing data processes including applications and verifications for Medical and Allied Health staff. Performs administrative tasks, such as compiling data from providers, preparing applications, maintaining clean and organized files, and maintaining current documents and enrollments for providers.
Responsibilities
Prepares, documents, and completes credentialing data processes.
Performs regularly recurring administrative tasks for maintaining Payor Enrollment data files.
Training and Self Development.
Customer Service.
Maintains Payor Enrollment data files to support effective entry, filing, storage, and retrieval of data and documents.
Assists department with performance improvement activities, clean up projects, and other duties as assigned.
Update Cactus database with new provider information.
Collates information and prepares credentialing files for review
Follows up on applications submitted..
Submit license, DEAs and malpractice to payors to maintain enrollments.
Update Cactus with demographic and name changes.
Receives, opens, sorts and distributes mail/emails.
Participate in staff training that aligns with recognized improvement opportunities.
Makes customer service a high priority. Listens to, identifies, and responds quickly and appropriately to customer needs, both internal and external customers
Respond in timely manner
Execute required actions
Identify potential problems
Handles confidential materials
Maintain storage of files for orderly retrieval.
Qualifications
Minimum Required: High School Graduate diploma or GED required. | CPCS (Certified Provider Credentialing Specialist) is preferred. 1-4 Years in a business office. Health care and credentialing experience in hospital, physician office, or managed care preferred.
