Credentialing Specialist I

Yuma Regional Medical Center; Yuma (AZ); On-site; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare facility in Yuma, Arizona is seeking a Credentialing Specialist I. This role is crucial for supporting the Medical Staff Services and includes tasks such as facilitating physician onboarding, conducting primary source verifications, and maintaining data integrity. The ideal candidate should have strong proficiency in Microsoft Office and possess excellent communication skills. Join a committed team dedicated to improving health and well-being in the community.

Qualifications

• Minimum of one year of general office experience.
• 2-3 years of experience in a healthcare setting is preferred.

Responsibilities

• Conduct primary source verification of provider applications.
• Maintain the Medical Staff Services database.
• Assist with compliance and quality assurance processes.

Skills

Microsoft Office proficiency

Analytical skills

Communication skills

Education

HS Diploma/GED

Associate Degree in Business or Healthcare Administration (preferred)

Job description

Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks
Shift: Days
Pay Rate Type: Hourly
Location: Yuma Medical Center

Summary

The Credentialing Specialist I provides high-level, independent support to the Medical Staff Services department and Medical Staff Leadership by facilitating physician onboarding through the initial application and reappointment process. The Credentialing Specialist I is responsible for collecting primary source verifications from multiple entities and analyzing the data that is collected to ensure compliance with established criteria, regulatory requirements and YRMC governance documents. The Credentialing Specialist I is responsible for accurately updating data for the department database to ensure data integrity. The Credentialing Specialist I provides administrative support to the Medical Staff and Department Leadership including running reports from the dedicated provider database, and may coordinate meetings, and handles confidential information.

Responsibilities

• Conducts primary source verification of provider applications with multiple entities as outlined in the Medical Staff Services Credentialing Policy and required by the applicable regulatory agencies and internal governance documents in a timely and efficient manner.
• Maintains the Medical Staff Services database. Responds to questions regarding expiring credentials, uploads renewed credentials into the database, maintains the database auto-alert system as required, and ensures data integrity.
• Maintains a professional demeanor as a representative of the department and the YRMC organization. Assists providers as needed, in person, through email, or responding to calls in a timely fashion. Maintains positive professional communication, both written and verbal, with the Medical Staff, Administration, and all other YRMC staff.
• Processes pre-checks of potential candidates as outlined in the Medical Staff Services Credentialing Policy. Works collaboratively with Provider Services to facilitate the pre-check process. Maintains records of pre-check data.
• Provides administrative coverage and support as needed including routine reports, special projects, department meetings and accounting reconciliation.
• Supports the Credentialing Specialist II to facilitate the reappointment and initial appointment process. Collaborates with all team members to ensure accuracy in file completion.
• Assists Director in assuring compliance with bylaws, policies, procedures, and compliance guidelines; participates and supports quality assurance, performance improvement programs and processes. Assists Director in maintaining budgetary expenses including purchases of supplies, equipment and capital items. Processes check requests for reimbursements, maintains adequate level of supplies in a cost-effective manner.

Education

• HS DIPLOMA/GED
• Proficiency with Microsoft Office: Word, Excel, Power Point; One year of general office experience

Preferred Requirements: Associate Degree in Business or Healthcare Administration; 2-3 years of experience in a healthcare setting; Demonstrated proficiency with Microsoft Office and ASM Products

Join us at Yuma Regional Medical Center dba Onvida Health

A career at Onvida Health is more than just a job. It's a place to have a long and rewarding career, making a difference in the lives of those in our shared community. When you join our team, you become an integral part of a thriving community committed to improving the health and well-being of everyone in southwestern Arizona.

At Onvida Health, we believe in progress with purpose. Our commitment to innovation is matched by our dedication to kindness and integrity. We take our values seriously because we know they lead to better outcomes for our patients and a better experience for all of us. We're looking for people who approach each day with a sense of possibility, a drive to make things better, and a commitment to kindness. If that sounds like you, you're our kind of people.

If you're looking for a career where innovation meets compassion, where you can grow and contribute to building a healthier tomorrow, Onvida Health is the place for you.

Life in Yuma, Arizona

Yuma, recognized by Guinness World Records as the Sunniest City on Earth, offers more than just sunshine. It's a place where the great outdoors meets a welcoming, tight-knit community. Hike scenic trails, explore the Colorado River, or immerse yourself in local cultural festivals - all while embracing the beauty of this desert oasis. With easy access to larger cities and popular destinations, Yuma makes it easy to balance a fulfilling career with time for personal adventures and relaxation.

Note: Physical Requirements and working conditions for this position will be provided to you up on interview.

Salary: Min = $20.57; Mid = $25.71; Max = $30.85. Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates.