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Provider Credentialing Specialist

IHC Health Services Inc
Primary Childrens Hospital, Full Time
POSTED ON 3/7/2023 CLOSED ON 3/23/2023

What are the responsibilities and job description for the Provider Credentialing Specialist position at IHC Health Services Inc?

Job Description: The Credentialing Specialist (CS) is responsible for facilitating Intermountain Healthcare and SelectHealth’s centralized credentials verification program and will serve as the primary credentialing liaison for hospitals, providers and/or network participating providers regarding credentialing services. The CS will facilitate all aspects of centralized credentials verification program with accuracy and attention to detail. They will enter all information regarding providers into the credentialing software and other programs as needed. The CS processes initial credentialing and re-credentialing applications capturing primary source documentation in computer databases, prepares and keeps reports of credentialing activities like accreditation, membership, or facility privileges and makes sure the applications comply with applicable laws, regulations, procedures and policies. The CS needs to stay on top of any changes to credentialing guidelines and make sure all records and applications are up to date and ready to be reviewed by Credentialing Committees. The CS will have frequent contact with system wide medical staff services professionals, administrators and/or medical directors, and practitioners. The CS must keep the Medical Staff Services Director apprised of problems or concerns and perform other work related duties as assigned. Minimum Qualifications Demonstrated understanding of medical terminology. Experience working in the medical field in an administrative or support role. This position requires effective verbal and written communication skills and the ability to work well with a team. This position will utilize computer technology to perform job functions. Must have intermediate level experience with Word, Excel, Adobe and OneNote, and must be comfortable learning a sophisticated data base program. Demonstrated workload management/prioritization skills. The incumbent must be able to work with a variety of health care professionals, able to function with minimal supervision, be self-motivated, keep confidences, have ability to adapt to frequent interruptions, have ability to solve problems and make decisions and possess organization and good communications skills. Demonstrated ability to work through frequent interruptions, solve problems, make decisions, and possess excellent organization and communications skills. Working knowledge of TJC, NCQA standards as well as state and federal guidelines and requirements. Preferred Qualifications Bachelor’s Degree from an accredited institution. Degree will be verified. Certification by the National Association of Medical Staff Services is preferred: Certified Provider Credentialing Specialist (CPCS) by the National Association of Medical Staff Services (NAMSS) or Certified Professional Medical Services Management (CPMSM) by the National Association of Medical Staff Services (NAMSS) Physical Requirements: Manual Dexterity, Seeing Location: Primary Childrens Hospital Work City: Salt Lake City Work State: Utah Scheduled Weekly Hours: 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $20.79 - $31.63 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package and our commitment to diversity, equity, and inclusion. Intermountain Healthcare is a Utah-based, not-for-profit system of 33 hospitals (includes "virtual" hospital), a Medical Group with more than 3,800 physicians and advanced practice clinicians at about 385 clinics, a health plans division called SelectHealth, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment. To find out more about us, head to our career site here. Sign up for job alerts! Click ‘sign in’ at the top right corner, create a candidate account, and when we have opportunities that meet your interests, you will receive an email with the job details. Intermountain Healthcare strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email recruitment@imail.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Intermountain Healthcare is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We intentionally work toward an Intermountain Healthcare that reflects our diverse communities and provides culturally competent care, health equity, and a sense of belonging amongst all our caregivers (employees). This is an important part of fulfilling our mission to help people live the healthiest lives possible. The three pillars of our work are talent experience with Intermountain (application, internship, development, etc.), community benefit, and care delivery. Learn more about diversity at Intermountain, here. Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match. Intermountain Healthcare’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100 learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor. All positions subject to close without notice. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability or protected veteran status. Women, minorities, individuals with disabilities, and veterans are encouraged to apply. Thanks for your interest in continuing your career with our team!

Salary : $21 - $32

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