Credentialing Specialist – Clinical Operations

🔥 3 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🏥 Clinical Operations

🚫👨‍🎓 No degree required

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Bon Secours Mercy Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2018

⚕️ Healthcare Insurance

Healthcare Insurance

Bon Secours Mercy Health is a leading health care organization committed to transforming health care delivery and services through strategic innovation and compassionate care. Operating hospitals and clinical sites in the U. S. and Ireland, the organization focuses on extending health care access, improving patient outcomes, and enhancing value through emerging technologies and strategic partnerships. With a commitment to service and stewardship, Bon Secours Mercy Health also prioritizes enhancing the quality of life for underserved communities while advocating for sustainability. The organization’s initiatives include digital innovation, diversified growth through investments and partnerships, and providing high-value care across its core clinical operations.

📋 Description

• Facilitates Credentials Verification Organization (CVO) provider application and data collection • Executes credentialing application processing and primary source verification for new applicants and re-credentialing • Assures applications are correct and complete • Works with credentialing auditors to correct deficiencies • Organizes and maintains provider data and files • Processes applications timely to meet quality benchmarks • Maintains awareness of The Joint Commission (TJC), NCQA, and CMS compliance guidelines • Demonstrates excellent professional communication skills while collecting information and resolving issues • Maintains privacy and confidentiality in all aspects of work

🎯 Requirements

• 1 year recent experience in medical staff services or CVO setting (preferred) • Certified Professional Medical Staff Management (CPMSM) or Certified Professional Credentials Specialist (CPCS) by National Association of Medical Staff Services (NAMSS) (preferred) • High School or GED (required) • Bachelor's Degree in Business, Healthcare or other related field (preferred) • Master's Degree in Business, Healthcare or other related field (preferred) • CredentialStream Credentialing software (STRONGLY preferred)

🏖️ Benefits

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support