Specialist - Credentialing

HonorHealth•Phoenix, AZ

About The Position

Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more. Join us. Let’s go beyond expectations and transform healthcare together. HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 17,000 team members, 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com.

Requirements

High School Diploma or GED - Required
1 year credentialing, medical staff or administrative assistant including data entry, in a hospital or healthcare environment resulting in knowledge of medical terminology and professional physician interface - Required

Nice To Haves

Other College or professional coursework in medical terminology, health care, documentation, or law. - Preferred
5 years in a credentials or medical staff services setting - Preferred
Non Clinical\CPCS - Certified Provider Credentialing Specialist CPCS Certification - Preferred

Responsibilities

Provides credentialing support to the credentialing manager.
Maintains a sound working knowledge of credentialing and provides consultation to the medical staff regarding credentialing, to ensure all processes are in compliance with state statutes and regulatory agencies as demonstrated by observation.
Responsible for timely processing of initial applications and reappointment applications for completeness and in accordance with Medical Staff standards.
Secures appropriate peer competency references and prepares credentials files.
Obtains primary source and other verifications in accordance with established guidelines.
Communicates with applicants during credentialing process to ensure timely and expeditious completion of process.
Researches incidents, malpractice claims, advisory letters/letters of concern etc. and request appropriate follow-up information from practitioner or other sources as indicated.
Maintains the credentialing database .
Updates primary source data in the Midas database.
Ensures data is accurately entered as evidenced by audit.
Prepares reports in compliance with requests for information as demonstrated by documentation.
Maintains adherence to professional confidentiality standards established within the Department and in accordance with legal, ethical and hospital and medical staff policies.
Assures data security and confidentiality by use of appropriate labeling of information and storage, and appropriately securing cabinets and drawers.