Credentialing Specialist-Medical Staff Office

Trinity Health; United States; On-site; USD 34,000 - 45,000; Full time

Job summary

Trinity Health is seeking a Credentialing Specialist to manage credentialing and re-credentialing for health care providers. You will review applications, prepare verification letters, and maintain the credentialing database. You must handle multiple tasks simultaneously, prioritize effectively, and protect confidential information.

High school diploma or equivalent is required, with preferred business secretarial training. CPCS certification preferred; ongoing education is expected.

Qualifications

• Must have confidentiality and handle multiple applications with attention to detail.
• Experience with credentialing processes and maintaining databases is a plus.
• Ongoing education and certifications related to credentialing are encouraged.

Responsibilities

• Processes credentialing and re-credentialing applications; reviews and verifies information and maintains database.
• Prepares verification letters and maintains documentation.
• Manages multiple tasks simultaneously and prioritizes accordingly.
• Maintains confidentiality and operates independently.

Skills

Effective communication

Time management

Interpersonal skills

Customer service orientation

Self-directed

Confidentiality

Education

High school diploma or equivalent

Business secretarial training preferred

CPCS Certification preferred

Tools

PC and appropriate software

Job description

Employment Type

Full time

Mission Statement

• We, St Joseph’s Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

Vision

• To be world-renowned for passionate patient care and outstanding clinical outcomes.

Core Values

• In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are.

Position Summary

• Processes credentialing and re-credentialing applications of health care providers, reviews applications, prepares verification letters and maintains database.
• Is able to handle several situations simultaneously and prioritize accordingly.
• Must maintain confidentiality.
• Must be self-directed.

Education, Training, Experience, Certification and Licence

High school graduate or equivalent, business school or formal secretarial training preferred. Participates in education conferences and in-services. Certified Provider Credentialing Specialist (CPCS) Certification preferred. Participates in orientation and continuing education. Updates and maintains knowledge and skills related to specific areas of expertise.

Special Equipment, Skills or Other Requirements

• PC and appropriate software knowledge.
• Knowledge of office equipment and supplies.
• A solid understanding of department related terminology.
• Effective communication skills both oral and written as well as good interpersonal, motivational and strong organizational skills including time management required.
• Customer service orientation.

Work Environment and Hazards

• Office environment.
• Exposure class II.

Physical Demands

• Sedentary work.

Work Contact Group

• All services, employees, medical staff, patients, visitors, contractors, vendors, and various regulatory and professional agency staff.

Supervised By

Director, Manager, or Coordinator

Supervises

• None

Career Path

• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) Certification.

General Performance Criteria

• Credentialing Specialist Expectations Exceeds Meet Below
• Has broad based knowledge of hospital unit/services.
• Adheres to established hospital policy and procedure related to job function.
• Reviews applications and other data for accuracy and completeness.
• Performs verification of reappointment applications by preparing requests for information letters, tracks responses and follows-up for needed information.
• Obtains licensure, certification and insurance certificates at time of reappointment and maintains in database.
• Entires accurate and up-to-date data for each applicant into the database and responds to verification requests.
• Assists in compliance with the accrediting and regulatory agencies in regards to credentialing while developing and maintaining a working knowledge of the statutes and laws.
• Responsible for coordination and preparation of medical staff functions; prepares for committee meetings, takes minutes, processes and distributes appropriate correspondence.
• Ensures that all expirables are reviewed, obtained and managed on a monthly basis according to the rules and policies.
• Assists in managing the flow of information between the MSO team, Credentials and MEC Committee members, Medical Staff Leadership (including the Service, Department and Section Chairpersons) and the Vice President for Medical Affairs.
• Assists Medical Staff Services Manager with duties such as making copies, preparing mailings, attending staff meetings, preparing minutes, etc.

Pay Range

Pay Range based on experience and location: $25.00-$32.50

Our Commitment Rooted in our Mission and Core Values

We honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care.

Equal Opportunity Employer

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Company Info

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs.

Contact

For more information, visit http://www.trinity-health.org.