Credentials Specialist

Children's Minnesota; Minnesota; Hybrid; USD 52,000 - 66,000; Full time

Job summary

Children’s Minnesota is seeking a Credentials Specialist I to support the credentialing needs of our Professional Staff, meeting Joint Commission and NCQA standards. This remote role ensures staff maintain current licenses and credentials to practice, monitors renewal dates, and guides required steps to stay compliant.

The role emphasizes strong organization, precise documentation, and independent work habits while collaborating with staff to uphold credentialing regulations and timely

Qualifications

• High School graduation required.
• Associate degree or higher preferred.
• Proficient in Microsoft Office Suite.
• Administrative experience.
• Data entry experience.

Responsibilities

• Credentialing for Children’s MN and Professional Staff.
• Monitor renewal dates and advise staff on steps to maintain credentials.
• Adhere to Credentials Office Policies and Procedures; ByLaws of the Professional Staff.
• Process primary source verifications and ensure regulatory compliance.

Skills

MS Office

Administrative experience

Data entry

Credentialing knowledge

Communication skills

Education

High School diploma

Associate degree or higher preferred

Job description

About Children’s Minnesota

Children’s Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young adulthood. An independent and not-for-profit system since 1924, Children’s Minnesota is one system serving kids throughout the Upper Midwest at two free-standing hospitals, nine primary care clinics, multiple specialty clinics and seven rehabilitation sites. As The Kids Experts in our region, Children’s Minnesota is regularly ranked by U.S. News & World Report as a top children’s hospital. Find us on Facebook @childrensminnesota or on Twitter and Instagram @childrensmn. Please visit childrensMN.org. Children’s Minnesota is proud to be recognized by Modern Healthcare as one of 2023’s Top Diversity Leaders. The national honor recognizes the top diverse healthcare executives and organizations influencing public policy, care delivery, and promoting diversity, equity and inclusion in their organizations and the industry.

Department Overview

Professional Staff Services provides administrative support to professional staff leaders and committees, manages professional staff credentialing and privileging, processes allied health professional authorizations, and deploys physician liaison services to promote communication between the hospital and its professional staff. Professional Staff Services includes professional staff coordinators, credentials specialists, credentials assistants, and physician liaisons. Children's Professional Staff, the medical staff organization of the hospital system, includes physicians, dentists, podiatrists, advanced practice nurses, psychologists, social workers, genetic counselors, and pharmacists.

Position Summary

The Credentials Specialist I serves the credentialing needs of Children's MN and its Professional Staff to meet the standards of the Joint Commission and the National Committee for Quality Assurance, as well as enhancing the safety of patients and the quality of clinical care in the Children's MN system. Credentialing Specialists ensure that professional staff members maintain current credentials and licenses to work legally in their field or specialty. The Specialist monitors upcoming renewal dates and works with professional staff to advise them of the required steps to maintain their credentials. The role adheres to the Credentials Office Policies and Procedures; the Policy on Appointment, Reappointment, and Clinical Privileges; and the Bylaws of the Professional Staff.

Location (e.g. remote or on-site): Remote

DHS Background Study Required? No

License/Certification/Registration required? No

Education:

• High School graduation required
• Associate degree or higher preferred

Required Experience:

• Proficient in Microsoft Office Suite
• Administrative experience
• Data entry experience

Preferred Experience:

• One or more years credentialing or medical administrative assistance experience
• CPCS and/or CPMSM certification
• Experience with credentialing professional staff files and processing primary source verifications
• Knowledge of credentialing regulations
• Familiarity with basic medical terminology

Knowledge/Skills/Abilities:

• Demonstrated organizational skills
• Strong professional written and verbal communication skills
• Strong attention to detail and ability to adhere to strict procedural guidelines and timelines
• Ability to work independently in performing the work of the role while also being a strong team member
• Plans and prioritizes to meet deadlines
• Excellent customer services skills, communicates clearly and effectively
• Able to work well under tight deadlines and respond to rapidly changing demands and provide efficient follow-up
• Capable and comfortable dealing with sensitive and confidential information with discretion and trust

Physical Demands

Please click here to view the Physical Demands

The posted salary represents a market competitive range based on salary survey benchmark data for similar roles in the local or national market. Annual salaries displayed are based on full-time employment (40 standard hrs per week). Annual salaries for part-time positions will be prorated based on the employee’s scheduled weekly hours in relation to the full-time standard. When determining individual pay rates, we carefully consider a wide range of factors including but not limited to market indicators for the specific role, the skills, education, training, credentials and experience of the candidate, internal equity and organizational needs.

In addition to your salary, this position may be eligible for medical, dental, vision, retirement, and other fringe benefits. Positions that require night, weekend or on-call work may be eligible for shift differentials or premium pay. All job offers are contingent upon successful completion of an occupational health assessment, drug screen, background investigation, and compliance with the U.S. Government Form I-9, Employment Eligibility Verification.

Children’s Minnesota is proud to be an equal opportunity employer whose staff is representative of its community and considers qualified applicants for open positions without regard to race, color, creed, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.