Credentialing Specialist- Hospital Med Staff Department

UnityPoint Health•Sioux City, IA

About The Position

Overview UnityPoint-St Luke's Part-Time Days The Credentialing Representative II is responsible for coordinating credentialing and privileging activities for medical staff and advanced practice providers in alignment with medical staff bylaws, regulatory standards, and organizational policies. In addition to managing application workflows, database updates, and document review, this role provides support in onboarding new team members, coordinating day-to-day credentialing tasks, and assisting with internal workflow prioritization. The Credentialing Representative II plays an integral role in maintaining accurate records, supporting regulatory readiness, and serving as a resource to peers and departments involved in the credentialing process. Why UnityPoint Health? At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. Here are just a few: Expect paid time off, parental leave, 401K matching and an employee recognition program . Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family . With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. Find a fulfilling career and make a difference with UnityPoint Health.

Requirements

High school diploma or equivalent required.
At least two years of experience in a hospital setting, customer service, patient relations , credentialing or related field preferred.
Achieving and maintaining CPCS certification within three years of employment after eligibility.
Valid driver’s license when driving any vehicle for work-related reasons.
Effective written/verbal communication skills.
Basic knowledge of computer concepts, information systems.
Ability to meet time frames for work completion.
Effective skills at teamwork and team facilitation.
Commitment to maintaining a high level of competence in accreditation and performance improvement concepts.
Use of usual and customary equipment used to perform essential functions of the position.

Nice To Haves

Associates degree in Healthcare Management/Administration is preferred.

Responsibilities

Supports the Medical Staff Manager in providing assistance for applications for physicians and dentists requesting appointment to the medical and dental staff, which includes multiple contacts for verifying the information, submitted in the application.
Supports the Medical Staff Manager in providing assistance for reappointment for one-half of the Medical and Dental Staff annually for a two-year reappointment term which includes multiple contacts for verifying the information, submitted in the application.
Processes privilege request for initial and/or reappointment might include: Determines the appropriateness of providing application materials to potential applicant based on established criteria.
Reviews documents for completeness, current licensure, valid board certification and professional liability insurance in compliance with policies and procedures and standards.
Verifies information that requires primary source verification.
Reviews professional and peer references, as appropriate.
Creates a profile for all practitioners, including aggregate data and clinical competence.
Organizes and completes credentialing and privileging from the CVO independently, efficiently, and in a timely manner.
Maintains accurate attention to detail.
Organizes and maintains credentialing and privileging files in order to facilitate retrieval and follow up with information that is readily accessible.
Collects information from providers and participates in actions that ensure timely credentialing data collection.
Process request for temporary privileges to meet patient and clinical needs in accordance with applicable DNV standards and medical staff bylaws.
Demonstrates initiative in organizing and prioritizing tasks, making for smooth workflow and positive, successful outcomes.
Is able to meet urgent deadlines successfully, multi-tasks and works under pressure with many interruptions, but is able to complete projects or work tasks successfully.
Assists in completion of outside Hospital verification requests in a timely manner.
Monitor and update expiable so that all providers are current with physical or electronic copy on file.
Assists with notifying practitioner and others of the governing body final decision of membership status or privileges to ensure proper documentation and communication regarding decision.