Credentialing Specialist

🔥 9 minutes ago

🌵 Arizona, California, +4 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🦬 Wyoming – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Banner Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1999

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Banner Health is a leading healthcare system committed to making healthcare easier through comprehensive patient services and resources. They provide a safe place for care with services ranging from emergency and urgent care, imaging, and surgery centers to maternity and hospice care. Banner Health also offers telehealth options to ensure access to healthcare, regardless of location. They support athletes through Banner Orthopedics & Sports Medicine and have been recognized for exceptional patient care. With advanced digital tools, they aim to manage healthcare seamlessly for their patients.

📋 Description

• Perform the department's credentialing work according to policies and procedures • Obtain primary source information for organizational facilities and entities • Maintain records and integrity of highly confidential information • Perform timely and complete credentialing processes • Analyze credentialing information and conduct appropriate follow-up • Acquire necessary materials and information from physicians, facility staff, professional staff, and physicians’ office staff • Enter relevant data into the database and ensure data consistency and integrity • Process queries for expired licensure and other regulatory credentialing requirements • Maintain credentialing documentation in the database • Manage assigned duties independently and exercise judgment on complex and sensitive credentialing issues • Handle physician inquiries and problems within the scope of the role • Keep supervisors apprised of issues • Establish daily work priorities and contribute to maintaining the credentialing process • Provide optimal customer service to internal and external customers

🎯 Requirements

• Associate’s degree • Three years of credentialing and/or process management and operations experience • Strong knowledge of business and/or healthcare • Basic knowledge of medical terminology • Knowledge of medical staff organization • Extensive knowledge of credentialing procedures • Experience interacting with physicians, allied health professionals, office credentialing representatives, and hospital personnel • Excellent verbal and written communication skills • Astute judgment in human relations • Ability to meet deadlines in a multi-functional task environment • Excellent organizational skills • Operational knowledge of word processing, spreadsheets, data entry, fax machines, and other computer-related skills • Ability to establish daily work priorities and work efficiently • Ability to provide optimal customer service • Remote work limited to applicants residing in Arizona, California, Colorado, Nebraska, Nevada, or Wyoming • Monday–Friday availability, 8:00 a.m.–4:30 p.m. • NCPCS certification preferred • Additional related education and/or experience preferred

🏖️ Benefits

• Great Place To Work® Certification™ recognition • Comprehensive benefit package for all benefit-eligible positions • Stimulating and rewarding careers • Opportunities to apply unique experience and expertise in support of a nationally-recognized healthcare leader • Drug-free work environment