Credentialing Assistant

Corewell HealthSouthfield, MI
1dOnsite

About The Position

This position provides clerical secretarial support to department staff and managers. This position reports to the department manager or director. Essential Functions Acts as the initial contact/correspondence with all new applicants to Beaumont Health. Receives applicants request for membership, enter applicant’s information into Credentialing data base to create a stub record, add required modifiers, analyze provider data and identifies appropriate privileges and application to be sent. Sends applicant relevant application/privileges. If needed works with hospital MSO to determine correct documents. Receives and assesses application for completeness, corresponds with applicant to obtain missing documentation, -assigns to credentialing coordinator, manages initial correspondence with applicant. Monitors/Manages application queue to establish equal distribution of workload. Notifies leadership of any disparate in balance of work. Possess knowledge of credential process, workflows to support credentialing coordinators, and leadership. Maintains and proactively updates data base provider demographics on weekly cadence. Responds to IT provider EMR request in timely manner. Reviews and enters request into credentialing systems and notifies stakeholders to activate physician account. Using computer software: Microsoft Office: Word, Excel, PowerPoint, Outlook, Cactus, Kronos, PeopleSoft, Teams. Manages department US Postal service mail, email box/voicemail and analyzes all communications. Triages correspondence to internal team and notifies leadership of any concerns/complaint. Monitors and maintains department supplies/par levels. Owns purchasing process, entry, review of quotes, reviews with leadership and submissions of payments. System administrator for key applications outside of BH, iChat, Credentialing Resource Center, HC PRO. Manages monthly (20 – 40k) application fees, reconciles payments (physical checks and Cost Center transfers for employed applicants, and submits to finance. Participates in all department initiatives. Cross trained on basic Data Tech duties to ensure smooth operational function. Duties include, Malpractice updates, Lara licensing changes/updates in system. Partners with Onboarding team, on employment status/site needed, contract completion, logs status in to Onboarding tracking system. Provides applicant status information /updates to Onboarding and site inquiries. Possess knowledge of credential process, workflows to support credentialing coordinators, and leadership. Responsible for Kronos process, including time variations, for corporate credentialing department. Provide project administrative support, compile correspondences for agendas and distribute, and take meeting minutes and distribute, save department S drive data. Performs other duties as assigned.

Requirements

  • High School Diploma or equivalent
  • Willingness to participate in credentialing webinars and learning opportunities.
  • 3 years of relevant experience, business/healthcare experience.

Nice To Haves

  • Professional courses in business, healthcare courses.

Responsibilities

  • Acts as the initial contact/correspondence with all new applicants to Beaumont Health.
  • Receives applicants request for membership, enter applicant’s information into Credentialing data base to create a stub record, add required modifiers, analyze provider data and identifies appropriate privileges and application to be sent.
  • Sends applicant relevant application/privileges.
  • If needed works with hospital MSO to determine correct documents.
  • Receives and assesses application for completeness, corresponds with applicant to obtain missing documentation, -assigns to credentialing coordinator, manages initial correspondence with applicant.
  • Monitors/Manages application queue to establish equal distribution of workload.
  • Notifies leadership of any disparate in balance of work.
  • Possess knowledge of credential process, workflows to support credentialing coordinators, and leadership.
  • Maintains and proactively updates data base provider demographics on weekly cadence.
  • Responds to IT provider EMR request in timely manner.
  • Reviews and enters request into credentialing systems and notifies stakeholders to activate physician account.
  • Using computer software: Microsoft Office: Word, Excel, PowerPoint, Outlook, Cactus, Kronos, PeopleSoft, Teams.
  • Manages department US Postal service mail, email box/voicemail and analyzes all communications.
  • Triages correspondence to internal team and notifies leadership of any concerns/complaint.
  • Monitors and maintains department supplies/par levels.
  • Owns purchasing process, entry, review of quotes, reviews with leadership and submissions of payments.
  • System administrator for key applications outside of BH, iChat, Credentialing Resource Center, HC PRO.
  • Manages monthly (20 – 40k) application fees, reconciles payments (physical checks and Cost Center transfers for employed applicants, and submits to finance.
  • Participates in all department initiatives.
  • Cross trained on basic Data Tech duties to ensure smooth operational function.
  • Duties include, Malpractice updates, Lara licensing changes/updates in system.
  • Partners with Onboarding team, on employment status/site needed, contract completion, logs status in to Onboarding tracking system.
  • Provides applicant status information /updates to Onboarding and site inquiries.
  • Possess knowledge of credential process, workflows to support credentialing coordinators, and leadership.
  • Responsible for Kronos process, including time variations, for corporate credentialing department.
  • Provide project administrative support, compile correspondences for agendas and distribute, and take meeting minutes and distribute, save department S drive data.
  • Performs other duties as assigned.

Benefits

  • Comprehensive benefits package to meet your financial, health, and work/life balance goals.
  • Learn more here.
  • On-demand pay program powered by Payactiv
  • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
  • Optional identity theft protection, home and auto insurance, pet insurance
  • Traditional and Roth retirement options with service contribution and match savings
  • Eligibility for benefits is determined by employment type and status
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