Intermountain Health
Job Description:
The Credentialing Specialist (CS) is responsible for facilitating Intermountain Health’s centralized verification office (CVO) program and will serve as the primary credentialing liaison for hospitals, providers and/or network participating providers regarding credentialing services.
Shift M-F 8:00am-5:00pm. No weekends or holidays
Essential Functions
The CS will facilitate all aspects of Primary Source Verification program with accuracy and attention to detail, including but not limited to written verification of applicants education and/or training, experience, and direct communication with the source for all applications.
They will review and ensure accuracy of provider information in credentialing software directly with the source for all applications.
The CS 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 ensures applications comply with applicable laws, regulations, procedures and policies.
The CS needs to stay current on credentialing guidelines and make sure all records and applications are up to date and ready to be reviewed by the Hospital Medical Staff Office and Medical Staff Committees.
They will have frequent contact with system-wide medical staff services professionals, administrators and practitioners, keep the Central Verification Office (CVO) Leaders apprised of problems or concerns, incorporate accreditation and regulatory standards requirements into medical staff activities, and work on maintenance of provider records including expirable items and other necessary documents.
Skills
Medical Staff Credentialing
Communication
Organizing
Health Insurance Portability & Accountability Act (HIPAA)
Hospitals
Health Care
Data Entry
Customer Service
Critical Thinking
Multi-Tasking
Minimum Qualifications
Requires effective verbal and written communication skills and the ability to work well with a team.
Must have intermediate level experience with Word, Excel, Adobe and OneNote, and be comfortable learning a sophisticated database program.
Must be able to work with a variety of health care professionals, work with minimal supervision, be self‑motivated, keep confidences, adapt to frequent interruptions, solve problems and make decisions, and possess organization and good communication skills.
Working knowledge of TJC, NCQA standards as well as state and federal guidelines and requirements.
Graduation from High School or equivalent, required.
Knowledge of medical terminology required.
Preferred Qualifications
Bachelor’s Degree from an accredited institution.
Certified Provider Credentialing Specialist (CPCS) by the National Association of Medical Staff Services (NAMSS).
Certified Professional Medical Services Management (CPMSM) by the National Association of Medical Staff Services (NAMSS).
Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) within five (5) years of employment.
Minimum of one year experience in administrative work.
Experience as a medical staff coordinator, medical staff credentials specialist or privileging coordinator.
One year experience in healthcare, legal or insurance environment.
Physical Requirements
Ongoing need to see and read information, labels, documents, monitors, identify equipment and supplies, and assess customer needs.
Frequent interactions with providers, colleagues, customers, patients/clients and visitors requiring verbal communication and listening skills.
Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy, including frequent computer use for typing and accessing information.
For roles requiring driving, expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
Location Nevada Central Office
Las Vegas, Nevada
Scheduled Weekly Hours 40
Hourly Range $24.00 - $36.54
Benefits 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 (https://intermountainhealthcare.org/careers/benefits).
Equal Opportunity Employer Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
AI Platform At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI‑enhanced recruitment process.
Notice All positions subject to close without notice.
#J-18808-Ljbffr
The Credentialing Specialist (CS) is responsible for facilitating Intermountain Health’s centralized verification office (CVO) program and will serve as the primary credentialing liaison for hospitals, providers and/or network participating providers regarding credentialing services.
Shift M-F 8:00am-5:00pm. No weekends or holidays
Essential Functions
The CS will facilitate all aspects of Primary Source Verification program with accuracy and attention to detail, including but not limited to written verification of applicants education and/or training, experience, and direct communication with the source for all applications.
They will review and ensure accuracy of provider information in credentialing software directly with the source for all applications.
The CS 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 ensures applications comply with applicable laws, regulations, procedures and policies.
The CS needs to stay current on credentialing guidelines and make sure all records and applications are up to date and ready to be reviewed by the Hospital Medical Staff Office and Medical Staff Committees.
They will have frequent contact with system-wide medical staff services professionals, administrators and practitioners, keep the Central Verification Office (CVO) Leaders apprised of problems or concerns, incorporate accreditation and regulatory standards requirements into medical staff activities, and work on maintenance of provider records including expirable items and other necessary documents.
Skills
Medical Staff Credentialing
Communication
Organizing
Health Insurance Portability & Accountability Act (HIPAA)
Hospitals
Health Care
Data Entry
Customer Service
Critical Thinking
Multi-Tasking
Minimum Qualifications
Requires effective verbal and written communication skills and the ability to work well with a team.
Must have intermediate level experience with Word, Excel, Adobe and OneNote, and be comfortable learning a sophisticated database program.
Must be able to work with a variety of health care professionals, work with minimal supervision, be self‑motivated, keep confidences, adapt to frequent interruptions, solve problems and make decisions, and possess organization and good communication skills.
Working knowledge of TJC, NCQA standards as well as state and federal guidelines and requirements.
Graduation from High School or equivalent, required.
Knowledge of medical terminology required.
Preferred Qualifications
Bachelor’s Degree from an accredited institution.
Certified Provider Credentialing Specialist (CPCS) by the National Association of Medical Staff Services (NAMSS).
Certified Professional Medical Services Management (CPMSM) by the National Association of Medical Staff Services (NAMSS).
Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) within five (5) years of employment.
Minimum of one year experience in administrative work.
Experience as a medical staff coordinator, medical staff credentials specialist or privileging coordinator.
One year experience in healthcare, legal or insurance environment.
Physical Requirements
Ongoing need to see and read information, labels, documents, monitors, identify equipment and supplies, and assess customer needs.
Frequent interactions with providers, colleagues, customers, patients/clients and visitors requiring verbal communication and listening skills.
Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy, including frequent computer use for typing and accessing information.
For roles requiring driving, expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
Location Nevada Central Office
Las Vegas, Nevada
Scheduled Weekly Hours 40
Hourly Range $24.00 - $36.54
Benefits 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 (https://intermountainhealthcare.org/careers/benefits).
Equal Opportunity Employer Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
AI Platform At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI‑enhanced recruitment process.
Notice All positions subject to close without notice.
#J-18808-Ljbffr