Credentials Specialist

Tenet Healthcare • Detroit, MI

3h

About The Position

DMC Rehabilitation Institute of Michigan is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients.

At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off (PTO)
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
Note: Eligibility for benefits may vary by location and is determined by employment status

Requirements

• High school diploma or equivalent.
• Two years of post high school secretarial, office management or equivalent education/training strongly preferred.
• Two years of medical affairs office or credentialing experience in managed care, hospital, or physician practice.
• OR Three years of experience in a role requiring a high level of analytical ability and coordination of processes.

Nice To Haves

• CPCS or CMSC certification preferred.
• Knowledge of ECHO or other credentialing software preferred.
• Knowledge of NCQA and JCAHO standards, NPDB guidelines and general licensing regulations preferred.
• Basic knowledge of medical terminology desired.

Responsibilities

• Under general supervision, processes applications for appointment/re-appointment of practitioners requesting or renewing membership and privileges at DMC system hospitals and affiliated operating units.
• Maintains physician database and performs all primary source verifications for appointment, reappointment and changes in staff status.
• Scans and appends electronic attachments to the appropriate electronic file.
• Ensures the timely completion of applications by communicating with and assisting the applicants in submitting all documentation necessary to process the applications.
• Receives and files approval letters and privileges.
• Adheres to credentialing policies/procedures, hospital by-laws, department rules/regulations and medical staff policies.
• Participates in the development and implementation of process improvements for the system-wide credentialing process.
• Participates in professional development programs and professional organizations to enhance understanding of various regulations and legislation of the health care industry.

Benefits

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off (PTO)
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED