What are the responsibilities and job description for the Credentialing Specialist position at University of Missouri?
Hiring Department
University of Missouri School of Medicine Department of Family and Community Medicine
Job Description
Position Overview:
The department of Family and Community Medicine is seeking a highly organized and detail-oriented Credentialing Specialist to join our department. The successful candidate will be responsible for managing the credentialing and re-credentialing process for physicians, advanced practice providers, and other healthcare professionals within the department. This position plays a critical role in ensuring compliance with regulatory standards and maintaining accurate, up-to-date credentialing records.
Key Responsibilities:
Credentialing and Re-credentialing:
o Perform initial credentialing and re-credentialing of healthcare providers in accordance with accreditation, regulatory, and University policies and procedures.
o Ensure timely submission and follow-up on credentialing applications with appropriate regulatory agencies, including insurance payers, state medical boards, and accreditation organizations.
Verification of Credentials:
o Verify healthcare professionals’ education, licensure, certifications, work history, malpractice history, and other qualifications.
o Monitor the status of physician and provider licenses, certifications, and other necessary credentials to ensure compliance with University and healthcare system requirements.
Compliance and Documentation Management:
o Maintain accurate and up-to-date credentialing files, databases, and documentation for all providers.
o Monitor changes to healthcare regulations, policies, and accreditation standards to ensure compliance across the department.
Collaboration:
o Work closely with medical staff leadership, department managers, and external agencies to ensure the credentialing process is efficiently managed.
o Communicate with healthcare providers to collect necessary documentation and provide status updates on credentialing applications.
Reporting and Audits:
o Prepare and submit credentialing reports to the Credentialing Manager, Medical Staff Office, and external agencies as required.
o Assist in audits of credentialing files to ensure the department remains compliant with accrediting bodies, healthcare providers, and insurance carriers.
Customer Service:
o Act as the primary point of contact for providers regarding credentialing issues and inquiries.
o Provide professional, timely responses to any questions related to credentialing processes and requirements.
Shift
Shift Type: Monday through Friday 8am – 5pm
(Clinical) Office/Administrative Hours: Yes - Position will have Office/Admin Hours
Flexibility for Alternative Schedules: No
Minimum Qualifications
High School diploma or an equivalent combination of education and experience from which comparable knowledge, skills, and abilities can be acquired.
One (1) year of experience confirming work history, education, training, background, and/or reference checks or similar experience.
Anticipated Hiring Range
Hiring Range: $19.15 - $24.50
Grade: PAT-006
University Title: CREDENTIALING SPECIALIST I
Internal applicants can determine their university title by accessing the Talent Profile tile in myHR.
Application Materials
In addition to filling out the online application please provide a Cover Letter and Resume.
Community Information
Columbia offers small-town friendliness with big city features and a high quality of life for people of all ages and interests. Founded on education and known as an ideal college town, its location also makes it an attractive spot for businesses and travelers. Located on Interstate 70 and U.S. Highway 63, Columbia is right in the middle of the state and the nation. Just a couple hours’ drive from St. Louis and Kansas City, Columbia is Boone County’s largest population center offering big-city culture, activities, and resources with a low cost of living. Columbia is home to a variety of restaurants and entertainment venues and hosts more than a dozen festivals each year. If you want to grow your career, continue your education, raise a family, and retire, Columbia is a good place to be!
Benefit Eligibility
This position is eligible for University benefits. As part of your total compensation, the University offers a comprehensive benefits package, including medical, dental and vision plans, retirement, paid time off, short- and long-term disability, paid parental leave, paid caregiver leave, and educational fee discounts for all four UM System campuses. For additional information on University benefits, please visit the Faculty & Staff Benefits website at https://www.umsystem.edu/totalrewards/benefits.
Equal Employment Opportunity
The University of Missouri is an Equal Opportunity Employer.
To request ADA accommodations, please call the Director of Accessibility and ADA at 573-884-7278.
Salary : $19 - $25
