Medical Staff Credentialing Specialist
About The Position
This position coordinates and supports the credential process for providers of Logan Health. Supports the organization in fulfilling the mission, vision, and values of Logan Health. Our Mission: Quality, compassionate care for all. Our Vision: Reimagine health care through connection, service and innovation. Our Core Values: Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence. Are you a detail-oriented, experienced healthcare professional looking to make a difference behind the scenes? Logan Health is seeking a dedicated Full-Time Provider Credentialing Specialist to join our team and support exceptional care across our organization.
Requirements
- Minimum of one (1) year experience in provider credentialing.
- Minimum of two (2) years’ experience in a medical setting.
- Minimum of two (2) years’ experience comprised of detailed data verification, document management, and handling of confidential records in accordance with regulatory standards.
- Associate’s degree in Business Administration or other related field preferred.
- Minimum of one (1) of the certifications below must be successfully obtained within three (3) years of hire: Certified Provider Credentialing Specialist (CPCS) Certification Certified Professional Medical Staff Management (CPMSM)
- Excellent organizational skills; detail-oriented, self-starter with strong critical thinking and prioritization abilities
- Strong verbal and written communication skills with the ability to effectively communicate with various audiences
- Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy
- Proficient in Microsoft Office Suite with the ability to learn additional software as needed
- Commitment to integrity, kindness, empathy, confidentiality, and high-quality outcomes
- Ability to work both independently and as part of a collaborative team
Responsibilities
- Assist with the on-boarding process for Medical Providers and coordinate credentialing and privileging for Allied Health Providers (AHPs)
- Process provider credentialing applications in accordance with accreditation standards, regulatory requirements, and Logan Health policies and procedures
- Perform primary source verification for medical school, residency, fellowship, NPDB, DSHS, FSMB, and other applicable sources
- Research, examine, enter data, and gather all necessary information to support the credentialing process
- Initiate and support the provider application process by sending, receiving, and analyzing practitioner documents; perform data imports to determine completeness
- Gather, verify, and evaluate highly confidential and sensitive healthcare practitioner credentials consistent with departmental guidelines and accreditation standards
- Monitor expiring licensure, board and professional certifications, and other documents pending expiration within prescribed timeframes
- Respond to practitioner, client health plan, and internal inquiries in a timely and professional manner
- Record minutes at assigned meetings, develop agendas, and maintain records
- Keep leadership informed of potential credentialing issues and perform administrative tasks as applicable
Benefits
- Medical, dental, and vision health insurance
- 401(k) retirement plan with employer contribution
- Generous PTO (Paid Time Off) accrual
- Discounted gym membership
- Opportunities for continued learning and professional development
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
