Credentials Specialist

Detroit Medical Center; Detroit (MI); On-site; USD 52,000 - 78,000; Full time

Job summary

DMC Rehabilitation Institute of Michigan is seeking a credentialing specialist to process appointment and reappointment applications for practitioners across Detroit Medical Center hospitals and affiliated units.

You will maintain physician databases, perform primary source verifications, and ensure timely submission of all documentation. The role requires attention to policies, rules, and credentialing standards while contributing to process improvements and ongoing professional development.

Qualifications

• Two years of medical affairs office or credentialing experience in managed care, hospital, or physician practice.
• CPCS or CMSC certification preferred.
• Knowledge of NCQA and JCAHO standards, NPDB guidelines and general licensing regulations preferred.
• Basic knowledge of medical terminology desired.

Responsibilities

• Processes applications for appointment/re-appointment of practitioners requesting or renewing membership and privileges at DMC system hospitals and affiliated operating units.
• Maintains physician database and performs all primary source verifications for appointment, reappointment and changes in staff status.
• Scans and appends electronic attachments to the appropriate electronic file.
• Ensures the timely completion of applications by communicating with and assisting the applicants in submitting all documentation necessary to process the applications.
• Receives and files approval letters and privileges.
• Adheres to credentialing policies/procedures, hospital by-laws, department rules/regulations and medical staff policies.
• Participates in the development and implementation of process improvements for the system-wide credentialing process.
• Participates in professional development programs and professional organizations to enhance understanding of various regulations and legislation of the health care industry.

Skills

Credentialing experience

ECHO software

NPDB guidelines

NCQA/JCAHO standards

Licensing regulations

Medical terminology

Confidentiality

Attention to detail

Education

High school diploma or equivalent

Post-secondary secretarial/office training (preferred)

CPCS or CMSC certification (preferred)

Job description

DMC Rehabilitation Institute of Michigan is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients.

Benefit Statement

At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off (PTO)
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.

Eligibility for benefits may vary by location and is determined by employment status

Job Summary

Under general supervision, processes applications for appointment/re-appointment of practitioners requesting or renewing membership and privileges at DMC system hospitals and affiliated operating units.

• Maintains physician database and performs all primary source verifications for appointment, reappointment and changes in staff status.
• Scans and appends electronic attachments to the appropriate electronic file.
• Ensures the timely completion of applications by communicating with and assisting the applicants in submitting all documentation necessary to process the applications.
• Receives and files approval letters and privileges.
• Adheres to credentialing policies/procedures, hospital by-laws, department rules/regulations and medical staff policies.
• Participates in the development and implementation of process improvements for the system-wide credentialing process.
• Participates in professional development programs and professional organizations to enhance understanding of various regulations and legislation of the health care industry.

Qualifications

• High school diploma or equivalent. Two years of post high school secretarial, office management or equivalent education/training strongly preferred.
• Two years of medical affairs office or credentialing experience in managed care, hospital, or physician practice. OR Three years of experience in a role requiring a high level of analytical ability and coordination of processes.
• CPCS or CMSC certification preferred.
• Knowledge of ECHO or other credentialing software preferred.
• Knowledge of NCQA and JCAHO standards, NPDB guidelines and general licensing regulations preferred.
• Basic knowledge of medical terminology desired.

Facility Description

The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and families throughout Michigan and beyond. A premier healthcare resource, our mission is to help people live happier, healthier lives. The hospitals of the Detroit Medical Center are the Children's Hospital of Michigan, Detroit Receiving Hospital, Harper University Hospital, Hutzel Women's Hospital, the DMC Heart Hospital, Huron Valley-Sinai Hospital, the Rehabilitation Institute of Michigan and Sinai-Grace Hospital.

EEO Statement

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.

Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Tenet participates in the E-Verify program. Follow the link below for additional information.

E-Verify: http://www.uscis.gov/e-verify

The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

Job: Med Staff Services

Primary Location: Detroit, Michigan

Facility: Detroit Medical Center Shared Services

Job Type: Full Time

Shift Type: Day

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Tenet participates in the E-Verify program. Follow the link below for additional information.

E-Verify: http://www.uscis.gov/e-verify

The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

2606000812

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.