Credentialing Specialist

Alomere Health; Alexandria (MN); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare provider in Alexandria is seeking a Credentialing Specialist to manage provider applications and ensure compliance with hospital policies. The role requires strong organizational skills and experience in medical staff services. The position offers full-time hours with benefits including health insurance and retirement savings.

Benefits

Health, Dental, and Vision Insurance

Employee Health Clinic

Retirement Savings (P.E.R.A)

Qualifications

• Five years’ experience in Medical Staff Services or Credentialing.

Responsibilities

• Track and ensure the renewal of licensure and certification.
• Correspond with Providers regarding all processes.
• Compile Medical Staff Quality Reports.

Skills

Strong computer skills

Knowledge of medical staff and provider privileging requirements

Tools

MD-Staff software

MS Office

Job description

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This range is provided by Alomere Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$21.37/hr - $29.92/hr

Department: Quality Improvement

Employment Status

Full-Time (1.0)- 80 Hours Per Pay Period

Benefit Status

Full-Time

Benefits Include

• Health, Dental, and Vision Insurance
• Employee Health Clinic (health +): Our health+ clinic provides office visits and prescription medications for little to no cost to Alomere Health employees and their dependents who are on a medical insurance plan
• Retirement Savings (P.E.R.A)- All eligible employees of Alomere Health are automatically enrolled in PERA (Public Employees Retirement Association). All eligible employees contribute 6.5% of their salary to PERA and Alomere Health contributes 7.5%
• Please see more details about our benefits here: Jobs in Alexandria, MN - Alomere Health
  
  

Hours

• Monday thru Friday:
• 7:00am to 3:30pm with flexibility
• Ability to work remote
  

Position Objective

The Credentialing Specialist will be responsible for the accurate and timely processing of Provider applications and re-applications. The Credentialing Specialist is responsible for managing all aspects of Provider credentialing process in a manner consistent with hospital and department policies and procedures. The position will be expected to use good judgement in minor decision-making as is related to Credentialing, but will not be expected to make major decisions relative to policies.

Essential Responsibilities

• Track and ensure the renewal of licensure, certification, etc. in conjunction with the Hospital Bylaws and Accreditation guidelines.
• Comply with Federal, State, and Local laws related to Credentialing and Medical Staff Services
• Correspond with Providers regarding all processes
• Ensure the completeness of the credentialing appointment and reappointment process by assuring that primary source verification is complete
• Communicate effectively with Department Chairs regarding Provider credentialing and privileging
• Ensure documentation in Provider files is accurate, and handled appropriately ensuring confidentiality; retaining the records per department policy
• Compile Medical Staff Quality Reports including OPPE, FPPE etc.
• Work with Director of Quality, Risk Management & MSS to prepare case reviews for PRC (Peer Review Committee)
• Send on-line meeting invites for the year in advance to Medical Staff, Admin and other attendees
• Ensure the hospital portal is updated with medical staff rosters, provider privileges, Hospital Bylaws and any Medical Staff Services policies.
• Keep Active and Allied staff email groups up-to-date.
• Organize Medical Staff meetings and agendas; compile minutes at these meetings as needed
• Track Medical Staff attendance and participation in Medical Staff meetings
• Serve as a resource on all medical staff issues within his/her scope of responsibility
• Provide library services as requested
  
  

Required Qualifications

• Five years’ experience working with Medical Staff Services, Credentialing, or in another related field
  
  

Preferred Qualifications

• CPCS or CPMSM certification or eligibility
• MD-Staff software experience
  
  

Knowledge, Skills And Abilities

• Strong computer skills, proficient in MS office
• Knowledge of medical staff and provider privileging requirements and compliance
• Knowledge of Alomere Health Staff Bylaws and Rules & Regulations
  
  

Union Position

No

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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