Credentialing & Privileging Specialist (Hybrid)

University of Iowa; Coralville (IA); Hybrid; USD 52,000 - 72,000; Full time

Benefits offered by this job

Paid vacation

Sick leave

Health insurance

Retirement plan contributions

Job summary

The University of Iowa is seeking a Credentialing Specialist for the Clinical Staff Office in Coralville, IA. This role supports hospital privileging, credentialing, and verification activities to ensure compliance with accrediting standards and UI Health Care bylaws.

Strong organizational and communication skills are essential to manage multiple tasks and timelines. The position requires a BA/BS or equivalent experience, proficiency with Microsoft Office, and the ability to work in a team

Qualifications

• BA or BS degree, or combination of related education and experience is required.
• 1-3 years’ experience in a regulatory environment requiring attention to detail is required.
• Demonstrated proficiency in Microsoft Office Suite (Outlook, Word, and Excel) is required.
• Demonstrated excellence in written and oral communication skills is required.
• Experience and successful record in managing multiple tasks, meeting deadlines and completing tasks in full is required.

Responsibilities

• Examines, evaluates and verifies documents for completeness and accuracy, determining conformity to established guidelines and policies.
• Investigates and analyzes data for accuracy while adhering to compliance standards of accrediting and regulatory bodies; prepares privileging packets for supervisors to review for committee submission; tracks and analyzes credentialing applications and materials with clinical department HR Representatives; identifies and follows-up on primary source verifications and pursues contact information for primary source verification.
• Enters data in a complex database that requires specialized subject matter knowledge; analyzes the data to maintain the database and generate reports.
• Supports daily credentialing operations of the office and clinical departments, including coordination of processes among colleagues, responding to routine and complex inquiries requiring judgement in the application of policies and procedures, and resolves issues concerning missing, questionable, or gaps in information to meet desired deadlines.
• Maintains working knowledge of UI Health Care Bylaws, UI Health Care credentialing policies and procedures, and CSO policies and procedures; translates knowledge into action regarding credentialing and privileging activities at the individual provider level.

Skills

Attention to detail

Written communication

Verbal communication

Time management

Multitasking

Education

Bachelor's degree

Tools

Microsoft Office Suite

Job description

The University of Iowa is seeking a Credentialing Specialist for the Clinical Staff Office in Coralville, IA. This role supports hospital privileging, credentialing, and verification activities to ensure compliance with accrediting standards and UI Health Care bylaws.

Strong organizational and communication skills are essential to manage multiple tasks and timelines. The position requires a BA/BS or equivalent experience, proficiency with Microsoft Office, and the ability to work in a team