What are the responsibilities and job description for the Credentialing Specialist position at Hospital Sisters Health System?
- Department: Medical Staff Services
- Schedule: Full time,40 hours per week
- Facility: St. Mary's Hospital- Hybrid or Remote work option
- Location: Green Bay, WI
Performs all activities related to credentialing and re-credentialing, including, but not limited to, determining an applicant's eligibility for membership and privileges; analyzing applications and supporting documents for completeness and accuracy; timely processing applications for membership and/or privileges; and ensuring hospital standards, state and federal law, and accrediting standards are met. Facilitates and manages department meetings, as necessary. Supports effective physician and advanced practice professional PPE processes.
Qualifications
Education
High School Diploma or GED is required.
Associate’s or Bachelor’s Degree Health Care Administration or related field is preferred.
Experience
3 years clerical experience is preferred.
3 years of experience in healthcare is preferred.
2 years of Hospital Credentialing or Payor Credentialing experience is preferred.
Certifications, Licenses and Registrations
Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) is preferred.
Physical Requirements: Administrative
Overview
Throughout communities in Illinois and Wisconsin, 13 hospitals, numerous community-based health centers and clinics, our 13,000 colleagues have built a culture based on our solid core values of respect, care, competence, and joy. These are the ideals we believe in, work by, and live each day.
Built upon more than 145 years of service to the communities we serve, we now look to the future and our place in it as a health care system that strives to continually improve processes, procedures, and outcomes with the latest and most advanced technologies and treatments.
Regardless of how far our passion for excellence carries us, our focus will always remain on the most important person in our entire organization: The patient.
HSHS requires COVID-19 vaccines or an approved medical or religious exemption for all colleagues. This does not apply to positions that are classified as 100% remote.
HSHS and affiliates is an Equal Opportunity Employer (EOE).
HSHS is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce.
Benefits
HSHS provides a benefits package designed to support the overall well-being of our colleagues including their physical, emotional, financial, spiritual, and work health. Colleagues budgeted to work at least 32 hours per pay period are eligible for HSHS benefits.
- Comprehensive and affordable health coverage includes medical, prescription, dental and vision coverage for full-time and part-time colleagues.
- Paid Time Off (PTO) combines vacation, sick, and personal days into one balance to allow you the flexibility to use your time off as you need.
- Retirement benefits including HSHS contributions.
- Education Assistance benefits include up to $4,000 of educational assistance each calendar year and tuition discounts to select colleges with no waiting period.
- Adoption Assistance provides financial support up to $7,500 for colleagues growing their families through adoption to reimburse application and legal fees, transportation, and more!
- Other benefits include: Wellness program with incentives, employer-paid life insurance and short-term and long-term disability coverage, flexible spending accounts, employee assistance program, ID theft coverage, colleague rewards and recognition program, discount program, and more!
