Credentialing Specialist

Overview: Credentialing Specialist Full Time; FTE 1.0 Days Rock Island, IL The Credentialing Specialist is responsible for the privileging of new Medical Staff and Allied Health Professional Staff applications, reappointment applications and requests for new privileges for the Trinity Medical Center Medical Staff. This position is responsible for timely processing and tracking of Medical Staff files, including primary source verification, review of information, and additional research as needed. This position shall serve as a liaison between providers, physician hospital organization (PHO), System CVO staff and regulatory agencies. Why UnityPoint Health? Culture At UnityPoint Health, you Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve. Benefits Our competitive Total Rewards program offers benefits options like 401K match, paid time off and education assistance that align with your needs and priorities, no matter what life stage youre in. Diversity, Equity and Inclusion Commitment Were committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation. Development We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience. Community Involvement Be an essential part of our core purposeto improve the health of the people and communities we serve. Visit /careers to hear more from our team members about why UnityPoint Health is a great place to work. Responsibilities: Initial and reappointment credentialing for delegated credentialing processes Send applications and record in SharePoint accordingly Input data into credentialing software and keep appropriately updated Prepare/Validate all privileging information is accurate and prepare for Credentials Committee discussion as well as Medical Executive Committee and local Board. Discuss any privilege delineations with Credentialing Committee Chair and other appropriate personnel prior to the Credentialing meeting. Assure required education for new privileges are met Create new privilege delineation forms in accordance to national standards Prepare packet for presentation at required approval meetings, obtain signatures Notify appropriate members on provider approval and suspensions Any extra requirements posed by the medical center such as restraint or fire safety training Assure collection of Medical Staff Fees and Dues Ensure life certifications are current Ensure all EKG providers have privileges Review terminations/notifications Qualifications: Required: High School Diploma or GED required Excellent communication skills both written and verbal. Knowledge of hospital credentialing. Knowledge of regulatory requirements from TJC, NCQA, CMS. Minimum of 2 years of experience in a hospital/medical related role Preferred: Associates Degree preferred. Database experience CPCS certified Valid drivers license when driving any vehicle for work-related reasons. Knowledge/Skills/Abilities: Highly organized Excellent Interpersonal skills Strong communication skills- written and verbal Demonstrated ability to adapt to change Proficient in Microsoft Office Suite Managing priorities and deadlines Professionalism

Created: 2024-10-22