Credentialing Intake Specialist CVO - Staff Credentialing
About The Position
The Credentialing Intake Specialist leads, coordinates, monitors, and maintains the credentialing and re-credentialing intake process within the CVO. The role ensures compliance with applicable accrediting and regulatory agency requirements and develops and maintains working knowledge of statutes and laws relating to credentialing. It is responsible for the accuracy and integrity of data in the credentialing database and related applications. The specialist reviews practitioner applications and supporting documents to assess eligibility, identifies issues requiring further investigation, validates discrepancies, and ensures appropriate follow-up. The role processes initial and reappointment application requests, responds to inquiries from other healthcare organizations, and interfaces with internal and external customers regarding day-to-day credentialing and privileging matters. It also maintains credentialing systems and applications, performs queries and reports, generates documents, meets weekly departmental metrics, and maintains strict confidentiality. Miscellaneous job-related duties may be assigned.
Requirements
- High school diploma or GED.
- At least one year of experience related to hospital or managed care credentialing.
Nice To Haves
- Certified Provider Credentialing Specialist (CPCS) certification.
Responsibilities
- Meet expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Lead, coordinate, and monitor the review and analysis of practitioner applications and accompanying documents to ensure applicant eligibility.
- Identify issues requiring additional investigation and evaluation, validate discrepancies, and ensure appropriate follow-up.
- Process requests for initial and reappointment applications.
- Respond to inquiries from other healthcare organizations.
- Interface with internal and external customers on day-to-day credentialing and privileging issues.
- Utilize and maintain the credentialing database and additional applications, optimizing efficiency.
- Perform queries and reports and generate documents.
- Meet weekly departmental metrics, including response turnaround time and timely processing of application requests.
- Maintain strict confidentiality of all data and information.
- Perform miscellaneous job-related duties as assigned.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
