Senior Credentialing Specialist

Job Description:

The Senior Credentialing Specialist (SCS) is responsible for facilitating Intermountain Healthcare and SelectHealth’s centralized credentials verification program and will serve as the primary credentialing liaison for hospitals, providers and/or network participating providers regarding credentialing services.

Job Description

The SCS maintains a working knowledge of TJC and NCQA standards. The SCS trains and educates the credentialing team on processes and updates of credentialing regulations.

The SCS position would include supervisory duties as backup to the Director and Manager of the Medical Staff Services Department.  The SCS will facilitate all aspects of centralized credentials verification program with accuracy and attention to detail. They will enter all information regarding providers into the credentialing software and other programs as needed. The SCS processes initial credentialing and re-credentialing applications capturing primary source documentation in computer databases, prepares and keeps reports of credentialing activities like accreditation, membership, or facility privileges and makes sure the applications comply with applicable laws, regulations, procedures and policies. The SCS needs to stay on top of any changes to credentialing guidelines and make sure all records and applications are up to date and ready to be reviewed by Credentialing Committees.

The SCS will have frequent contact with system wide medical staff services professionals, administrators and/or medical directors, and practitioners. The SCS must keep the Medical Staff Services Director apprised of problems or concerns and perform other work related duties as assigned.

Job Skills

• Credentialing
• Medical Staff Training
• Provider Credentialing
• Medical Industry
• Medical Terminology
• Medical Services
• Databasing
• NCQA Standards
• Teamwork
• Computer Technology

Minimum Qualifications

• Demonstrated understanding of medical terminology.
• Experience working in the medical field as a credentialing specialist or similar support role.
• This position requires effective verbal and written communication skills and the ability to work well with a team. This position will utilize computer technology to perform job functions.
• Must have expert level experience with Word, Excel, Adobe and OneNote, and must be comfortable learning a sophisticated data base program.
• Demonstrated workload management/prioritization skills.
• The incumbent must be able to work with a variety of health care professionals, able to function with minimal supervision, be self-motivated, keep confidences, have ability to adapt to frequent interruptions, have ability to solve problems and make decisions and possess organization and good communications skills. 
• Demonstrated ability to work through frequent interruptions, solve problems, make decisions, and possess excellent organization and communications skills.
• Working knowledge of TJC, NCQA standards as well as state and federal guidelines and requirements. Additionally, manages and queries the National Practitioner Data Bank. 
• Certification by the National Association of Medical Staff Services: Certified Provider Credentialing Specialist (CPCS) by the National Association of Medical Staff Services (NAMSS) or Certified Professional Medical Services Management (CPMSM) by the National Association of Medical Staff Services (NAMSS)

Preferred Qualifications:

• Bachelor’s Degree an accredited institution.  Degree will be verified.
• Five years of experience working in the medical field as a credentialing specialist or similar support role

Physical Requirements:

Physical Requirements

• Sedentary

Location:

Intermountain Health Heart Center - La Canada

Work City:

Las Vegas

Work State:

Nevada

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

$23.30 - $35.48

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicant