Credentialing Specialist (Remote)

Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!

Job Title:

Credentialing Specialist (Remote)

Cost Center:

101651071 Credentialing And Privileging

Scheduled Weekly Hours:

40

Employee Type:

Regular

Work Shift:

Mon-Fri; day shifts (United States of America)

Job Description:

JOB SUMMARY

The Credentialing Specialist directs and facilitates completion of credentialing and re-credentialing of facilities, physicians and allied providers per organizational policies, delegated entities, accreditation agencies and other government requirements.  The individual is the lead for onsite visits to review credentialing files per the accrediting bodies and organizational standards.  The Credentialing Specialist is the lead resource on credentialing polices and processes for Security Health Plan (SHP) staff and provides administrative support for maintaining credentialing documents, meeting minutes and provider data in the credentialing software.

JOB QUALIFICATIONS

EDUCATION

For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.

Minimum Required: None

Preferred/Optional: Associates degree in healthcare accounting, business or a related field.

EXPERIENCE 

Minimum Required: Three years’ experience in credentialing. Demonstrated proficiency in the Microsoft Office Suite and with written and verbal communication skills.

Preferred/Optional: None

CERTIFICATIONS/LICENSES 

The following licensure(s), certification(s), registration(s), etc., are required for this position.  Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.

Minimum Required: None

Preferred/Optional: Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) awarded by the awarded by the National Association Medical Staff Services (NAMSS).

Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare.  Successful applicants will listen, serve and put the needs of patients and customers first.

Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid.  This is a condition of employment.  Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.

Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.