Remote Medical Credentialing Specialist

Intermountain Healthcare Inc.; Lincoln (NE); Remote; USD 51,000 - 78,000; Full time

Job summary

Intermountain Health is seeking a Credentialing Specialist to manage the centralized verification program and act as the liaison for hospitals, providers, and network participants regarding credentialing services.

The role focuses on primary source verification, processing initial and re-credentialing applications, and maintaining accurate provider information while ensuring compliance with laws and policies. Strong communication and organizational skills are essential.

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 program with accuracy and attention to detail.
• Review and ensure accuracy of provider information in credentialing software
• Directly with the source for all applications.
• Processes initial credentialing and re-credentialing applications capturing primary source documentation in computer databases, prepares and keeps reports of credentialing activities like accreditation, membership, or facility privileges and makes sure the applications comply with applicable laws, regulations, procedures and policies.

Skills

Medical Staff Credentialing

Communication

Organizing

HIPAA

Hospitals

Health Care

Data Entry

Customer Service

Critical Thinking

Multi-Tasking

Education

High School Diploma or equivalent

Knowledge of medical terminology

Bachelor's Degree

CPCS (NAMSS)

CPMSM (NAMSS)

Tools

Word

Excel

Adobe

OneNote

Job description

Intermountain Health is seeking a Credentialing Specialist to manage the centralized verification program and act as the liaison for hospitals, providers, and network participants regarding credentialing services.

The role focuses on primary source verification, processing initial and re-credentialing applications, and maintaining accurate provider information while ensuring compliance with laws and policies. Strong communication and organizational skills are essential.