Credentialing Specialist - Credential/Verification Office:
PeaceHealth

157933-en_US
PeaceHealth
Vancouver Washington
Healthcare
Description

PeaceHealth is seeking a Credentialing Specialist - Credential/Verification Office for a 1.0 full time equivalent Non-Exempt position. This position will be working Day shift with shift durations of 8 Hours.

Req ID: 157933

 

JOB SUMMARY

Responsible for coordinating, processing, monitoring and maintaining the initial appointment and reappointment confidential credentialing processes for medical staff and allied health practitioners, ensuring timeliness and compliance with PeaceHealth standards and criteria as well as all legal, regulatory and accreditation requirements. Perform primary source verification according to established policies. Responsible for the accuracy and integrity of the credentialing database system.

 

ESSENTIAL FUNCTIONS

1. Initiate, coordinate, process and monitor initial appointment and reappointment credentialing applications in accordance with PeaceHealth policies and timelines as well as legal, regulatory and accreditation requirements; maintain tracking mechanisms.

2. Gather, verify and evaluate healthcare provider credentials for initial and re-credentialing applications; identify potential issues; determine if further investigation or information is necessary and make appropriate inquiries; assess completed applications to ensure PeaceHealth criteria are met and all necessary elements are present and correct. Work with practitioners to ensure smooth and timely credentialing process.

3. Enter and maintain data in the credentialing database according to established data entry rules, policies and procedures.

4. Maintain credentials files and related records according to established policies and procedures.

5. Communicate with PeaceHealth Medical Staff Offices and practitioners regarding credentials files and processes.

6. Maintain general knowledge of PeaceHealth CVO policies and procedures, regulatory and accreditation standards.

7. Perform other duties as assigned by department leadership.

 

QUALIFICATIONS

EDUCATION:

  • Associates degree in Health Information or Health Business is preferred.

 

EXPERIENCE/TRAINING:              

  • Minimum of 2 years of administrative office experience in a healthcare setting is required.
  • Previous provider credentialing experience is highly preferred.

 

LICENSE/CERTIFICATION:            

  • Certified Professional Credentialing Specialist (CPCS) is required within 3 years of date of hire

 

OTHER SKILLS:                  

  • Excellent critical thinking and problem solving skills
  • Detail oriented with demonstrated accuracy, organizational and time management skills
  • Working knowledge of credentialing database software; Cactus software preferred
  • Knowledge of legal, regulatory and accreditation credentialing requirements preferred
  • Proficiency in MS Office applications, i.e., Word, Excel, etc.
  • Excellent verbal and written communication skills
  • Excellent customer service skills
  • Ability to manage multiple priorities, projects and display flexibility in a fast paced and challenging work environment
  • Knowledge of medical terminology preferred

 

Please apply online to be considered. For full consideration of your skills and abilities, please attach a current resume with your application.

 

About PeaceHealth

 

PeaceHealth, based in Vancouver, Wash., is a not-for-profit Catholic health system offering care to communities in Washington, Oregon, and Alaska. PeaceHealth has approximately 16,000 caregivers, a multi-specialty medical group practice with more than 900 providers and 10 medical centers serving both urban and rural communities throughout the Northwest. In 1890, the Sisters of St. Joseph of Peace founded what has become PeaceHealth. Today, PeaceHealth is the legacy of its founding Sisters and continues with a spirit of respect, stewardship, collaboration and social justice in fulfilling its Mission. 

 

We offer competitive compensation, a robust benefits package and a collaborative, Mission-driven work environment! To learn more about working at PeaceHealth and the Vancouver community please visit our homepage: www.peacehealth.org/careers.

 

Get a feeling for the Spirit of PeaceHealth through this three-minute video, and visit us on Facebook or LinkedIn!

 

Questions? Review our Employment FAQ or email Recruitment@peacehealth.org. Please note this email does not accept resumes or applications.

 

Location: Vancouver, Shared Services Center (802)
Job Category:  Business, Administrative & Facilities 
Shift:  Day
Shift Length: 8 Hours
FTE: 1.0
Work Type:  Full Time
Hourly compensation starts at: $20.07, more depending on experience
Required Certifications/Licensure: 

 

PeaceHealth is committed to providing equal employment opportunities to all qualified job applicants and employees without regard to the following statuses: protected veteran; qualified individual with a disability; race; ethnicity; religion; gender; pregnancy; gender identity; national origin; age; genetic information; sexual orientation; or any other protected status in accordance with local, state, or federal laws.

 

The above information is intended to indicate the general nature and level of work performed by this position. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of caregivers assigned to this job.

 

Posting Notes: Vancouver || Business, Administrative & Facilities || IT & Health Information Management || Full Time || MED STAFF CREDENTIAL

Basic Qualifications
Requirement