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. Must have payor credentialing experience. Must have advanced Excel skills 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. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.