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Credentialing Coordinator
$41k-51k (estimate)
Full Time | Business Services 1 Day Ago
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Saint Alphonsus Health System is Hiring a Credentialing Coordinator Near Boise, ID

Employment Type:
Full time
Shift:
Day Shift
Description:

At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.

GENERAL SUMMARY AND PURPOSE:

Under general supervision, coordinates primary source verification of appointments and reappointments for the credentialing process for Saint Alphonsus.

SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:

High School Diploma or equivalent required. Bachelor’s degree in a health care field preferred. Certified as a Provider Credentialing Specialist (CPCS) by the National Association Medical Staff Services (NAMSS) preferred. 2 years of medical office experience required.

ESSENTIAL FUNCTIONS:

Knows, understands, incorporates, and demonstrates the Organization's Mission, Vision, and Values in behaviors, practices, and decisions.

Follows all aspects of the initial credentialing and re-credentialing process as outlined in the Medical Staff Bylaws. Responsible for quality control, completeness and accuracy of practitioner and allied health professionals credentials files.

Researches credentialing and re-credentialing and assures process is in accordance with the Medical Staff Bylaws, the Joint Commission and NCQA standards. This can be accomplished online or through other study guide materials provided by the department. Monitors the changes in the Joint Commission and NCQA standards and recommends to the appropriate Committee necessary changes to meet standards.

Knowledge of credentialing, medical terminology, Joint Commission and National Committee for Quality Assurance (NCQA) standards. MSO software program experience preferred. Experience with concepts of continuous quality improvement. Maintains a professional and effective working relationship with the practitioners and allied health professionals.

Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health.

Visit www.saintalphonsus.org/careers to learn more about the benefits, culture and career development opportunities available to you at Saint Alphonsus Health System.

Saint Alphonsus and Trinity Health are committed to promoting diversity in its workforce and to providing an inclusive work environment where everyone is treated with fairness, dignity and respect. We are committed to recruit and retain a diverse staff reflective of the communities we serve. Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individual with regard to race, color, religion, gender, marital status, national origin, age, disability, sexual orientation, or any other characteristic protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Business Services

SALARY

$41k-51k (estimate)

POST DATE

05/10/2024

EXPIRATION DATE

07/09/2024

WEBSITE

saintalphonsus.org

HEADQUARTERS

BOISE, ID

SIZE

100 - 200

FOUNDED

1894

TYPE

NGO/NPO/NFP/Organization/Association

CEO

SALLY JEFFCOAT

REVENUE

$500M - $1B

INDUSTRY

Business Services

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About Saint Alphonsus Health System

Saint Alphonsus Health System is a multi-specialty medical care hospital that specializes in caring critically ill and injured patients.

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The job skills required for Credentialing Coordinator include Health Care, Diversity and Inclusion, Quality Assurance, etc. Having related job skills and expertise will give you an advantage when applying to be a Credentialing Coordinator. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Credentialing Coordinator. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Credentialing Coordinator positions, which can be used as a reference in future career path planning. As a Credentialing Coordinator, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Credentialing Coordinator. You can explore the career advancement for a Credentialing Coordinator below and select your interested title to get hiring information.

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If you are interested in becoming a Credentialing Coordinator, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Credentialing Coordinator for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Credentialing Coordinator job description and responsibilities

A credential coordinator performs a variety of administrative tasks. This includes processing initial credentialing and re-credentialing applications.

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Credential coordinator's common duties may also include screening practitioners' applications and supporting documentation to ascertain their eligibility.

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The credentialing coordinator will organize, maintain, and verify all aspects of the process, and maintain current files on practitioners.

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Educate the healthcare facility and division regarding the credentialing policies and procedures.

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Create educational material regarding the department's credentialing effort.

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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Credentialing Coordinator jobs

Credentialing specialists can often find work with a high school diploma or the equivalent.

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A credentialing specialist can have certificates that will prove useful to their field.

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Must be proficient with Microsoft Office Word and Excel.

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Respond to health plan provider inquiries with utmost respect.

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Ensuring data is backed up.

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Step 3: View the best colleges and universities for Credentialing Coordinator.

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