Remote Credentialing Specialist – Healthcare Verification

Intermountain Healthcare Inc.; Austin (TX); Remote; USD 34,000 - 52,000; Full time

Job summary

Intermountain Health is seeking a Credentialing Specialist to manage the centralized verification office processes for hospitals, providers, and network participants. This role emphasizes accuracy in primary source verification and maintaining credentialing records.

Based in Salt Lake City with remote options, the CS works Monday–Friday, supporting compliance with TJC and NCQA standards, HIPAA, and healthcare regulations while collaborating with diverse health care professionals.

Qualifications

• Requires effective verbal and written communication skills and the ability to work well with a team.
• This position will utilize computer technology to perform job functions. Must have intermediate level experience with Word, Excel, Adobe and OneNote, and must be comfortable learning a sophisticated data base program.
• The incumbent must be able to work with a variety of health care professionals, able to function with minimal supervision, be self-motivated, keep confidences, have ability to adapt to frequent interruptions, have ability to solve problems and make decisions and possess organization and good communication skills.
• Working knowledge of TJC, NCQA standards as well as state and federal guidelines and requirements
• Graduation from High School or equivalent, required
• Knowledge of medical terminology required

Responsibilities

• Facilitate all aspects of Primary Source Verification with accuracy and attention to detail.
• Review and ensure accuracy of provider information in credentialing software directly with the source for all applications.
• Process initial credentialing and re-credentialing applications capturing primary source documentation in computer databases.
• Prepare and maintain reports of credentialing activities and ensure compliance with laws, regulations, procedures and policies.

Skills

Medical Staff Credentialing

Communication

Organizing

HIPAA

Hospitals

Health Care

Data Entry

Customer Service

Critical Thinking

Multi-Tasking

Education

Bachelor’s Degree

CPCS

CPMSM

Job description

Intermountain Health is seeking a Credentialing Specialist to manage the centralized verification office processes for hospitals, providers, and network participants. This role emphasizes accuracy in primary source verification and maintaining credentialing records.

Based in Salt Lake City with remote options, the CS works Monday–Friday, supporting compliance with TJC and NCQA standards, HIPAA, and healthcare regulations while collaborating with diverse health care professionals.