Credentialing Specialist/Hybrid - Springfield

mercy; United States; On-site; USD 52,000 - 78,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision coverage

Paid time off

Tuition assistance

401(k) retirement plan

Job summary

Mercy seeks a Credentialing Specialist to verify practitioner files for initial appointments and reappointments within required timeframes and standards set by accrediting/regulatory agencies across Mercy Network, Mercy Clinic and Mercy Hospitals. The role requires gathering, entering, and verifying information, and communicating with applicants to complete their credentialing.

The ideal candidate will be detail oriented, able to handle complex credentialing requirements across states, and

Qualifications

• Bachelor's degree or prior data entry/credentialing experience may substitute education.
• Prior credentialing or database entry experience preferred.
• Must be detail oriented and able to work in a demanding, fast-paced environment.
• Analytical experience preferred.
• Certifications in CPCS and/or CPMSM preferred; certification must be earned within two years of eligibility.
• Willingness to travel; flexible hours and long hours at a computer.

Responsibilities

• Verify and coordinate credentialing for approximately 8,000 practitioner files for initial appointment and reappointment.
• Prepare and send applications, gather and verify information, and communicate with applicants as necessary.
• Maintain compliance with accrediting/regulatory agencies and standards for Mercy Network, Mercy Clinic, and Mercy Hospitals.
• Communicate verbally and in writing with applicants to complete their credentialing process.
• Assist with expedited requests and deadline-driven tasks in a fast-paced environment.

Skills

Credentialing

Data entry

Attention to detail

Analytical skills

Deadline-driven

Communication skills

Education

Bachelor's degree

Job description

Find your calling at Mercy!

Overview

Coordinates accurate verification of approximately 8,000 practitioner files forinitial appointment and reappointment within established time frames and in accordance with the standardsrequired by the accrediting/regulatory agencies for all Mercy Network, Mercy Clinic and Mercy Hospitals. This includes preparing and sending applications, gathering, entering and verifyinginformation received in the application process and communicating verbally and written with applicants as necessary to complete their application. Specialist must be detail oriented and have ability to understand complex credentialingrequirements needed by facility and variances for credentialing in multiple states. Must be deadline driven and can easily adapt to expedited requests. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.

Position Details:

• Education: Bachelors degree or previous data entry or credentialingexperience may be substituted for education.
• Experience: Previous credentialing or database entry experience preferred.
• Applicant must be detail oriented and able to work in a demanding and fast paced work environment.
• Analytical experience preferred.
• Certifications: Valid certification as a Certified Provider Credentialing Specialist (CPCS) and/or Certified Professional Medical Services management (CPMSM) preferred. Certification must be passed within two years of becoming eligible for exam.
• Other: Detail oriented. Able to easily adapt to change. Self-starter. Position requires long hours sitting at a computer. Some travel is required. Position requires flexible hours outside of the normal work day.
• Preferred Education: Bachelor's degree preferred.

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.