Credentialing Specialist – Credentials Verification Organization

🔥 2 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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Bon Secours Mercy Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2018

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • 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

• Facilitate CVO provider application and data collection, application processing, and primary source verification • Support provider onboarding and offboarding processes • Execute credentialing and re-credentialing applications for new applicants • Ensure applications are complete, accurate, and compliant; resolve discrepancies • Prepare files and documents for Medical Director, Credential Committee, and Medical Staff Office review • Work with credentialing auditors to correct deficiencies • Organize and maintain provider data and files • Process applications within turnaround-time, accuracy, and regulatory benchmarks • Maintain accurate provider information in the provider database • Complete credentialing compliance checkpoints before file release • Maintain awareness of TJC, NCQA, CMS, and other regulatory guidelines through continuing education • Communicate with colleagues, customer relations, MSO representatives, and leadership to collect missing information and resolve issues • Perform other job-related duties as required by the supervisor, subject to reasonable accommodation

🎯 Requirements

• High School or GED (required) • 1 year recent experience in medical staff services or CVO setting (preferred) • CPMSM or CPCS certification by NAMSS (preferred) • Experience with Credentialstream credentialing software (preferred) • Must follow applicable regulatory standards and primary source verification requirements • Strong professional communication skills • Respect for privacy and confidentiality

🏖️ Benefits

• Competitive pay • Incentives • Referral bonuses • 403(b) with employer contributions (when eligible) • Medical, dental, vision, and prescription coverage • HSA/FSA options • Life insurance • 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