Credentialing Specialist

1 week ago

Tucson, Arizona, United States Banner Health Full time

Primary City/State:

Tucson, Arizona

Department Name:

Admin-Anesthesia-Clinic

Work Shift:

Day

Job Category:

Clinical Support

This position performs the department's credentialing work as outlined in the policies and procedures. Obtains all primary source information necessary for all organizational facilities and entities.

The incumbent maintains records and the integrity of highly confidential information that is protected from discovery by applicable state statutes.


Location:

1625 N Campbell Ave Tower 4, 4th Floor

Hours:

Monday - Friday 40 hour per week position


Banner University Medical Group is our nonprofit faculty practice plan associated with the University of Arizona Colleges of Medicine in Phoenix and Tucson.

Our 800-plus clinicians provide primary and specialty care to patients at highly ranked Banner - University Medical Centers and dozens of clinics while providing mentorship to more than 700 residents and fellows.

Our practice values and encourages the three-part mission of academic medicine: research, education and excellent patient care.

This position performs the department's credentialing work as outlined in the policies and procedures. Obtains all primary source information necessary for all organizational facilities and entities.

The incumbent maintains records and the integrity of highly confidential information that is protected from discovery by applicable state statutes.


CORE FUNCTIONS

  • Performs the appropriate (applicable) credentialing processes in a timely and complete manner.
  • Performs analysis and appropriate follow-up.
Works with many individuals to acquire necessary materials and information, including, but not limited to:
physicians, facility staff, professional staff and physicians' office staff.

  • Performs relevant data entry into the database to ensure consistency and integrity of the data.
  • Processes appropriate queries for expired licensure, or any appropriate regulatory credentialing requirement and maintains documentation in the database.
  • The incumbent performs and completes activities within the parameters established by the director and supervisor and as outlined in the facility/entity documents. Manages own duties and functions independently. Work requires the constant exercise of a high degree of independent judgment in response to complex and sensitive credentialing issues, decision making and discretion. Uses independent decision making processes and handles assigned duties in a meaningful and confidential manner with a minimum of supervision. Handles physician inquiries and problems within the scope of job function and keeps supervisors apprised of all issues as they occur. Department and hospital responsibility. Internal customers include facility medical staff services, physicians, hospital personnel, corporate staff, hospital management, and volunteers. External customers include but are not limited to regulatory/accrediting and licensing agencies, legal entities, state and national databases, other hospitals and the general public.

MINIMUM QUALIFICATIONS
Must possess a strong knowledge of business and/or healthcare as normally obtained through the completion of an associate's degree.


Must possess a strong knowledge and understanding of healthcare planning as normally demonstrated through three years of credentialing and/or process management and operations experience.

Requires a basic knowledge of medical terminology, medical staff organization and extensive knowledge of credentialing procedures. Must have experience in interacting with physicians and allied health professionals, their office credentialing representatives, and hospital personnel.

Must have excellent communication skills, both verbal and written, along with astute judgment in areas of human relations. Must demonstrate an ability to meet deadlines in a multi-functional task environment.

Requires excellent organizational skills and operational knowledge working with work processing, spreadsheets, data entry, fax machines, and other computer related skills.

Must, at all times, maintain efficiency and timeliness in all daily activities.

Must be able to establish daily work priorities and work efficiently to contribute to the successful overall maintenance of the credentialing process.

Provides optimal customer service to meet the organization's expectations.

PREFERRED QUALIFICATIONS
National Certified Provider Credentialing Specialist (NCPCS) certification preferred.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

Privacy Policy

  • Specialist

    1 week ago

    Tucson, Arizona, United States LMR Technical Group Full time

    LMR Technical Group (LMR) is seeking a Cognitive Performance Specialist to join our teamLocation:Tucson, AZBackground:The Comprehensive Readiness for Aircrew Flying Training (CRAFT) initiative, launched in 2020 by the Air Education and Training Command (AETC), enhances pilot training through a holistic approach aimed at strengthening the physical and mental...

  • peer recovery support specialist

    1 week ago

    Tucson, Arizona, United States Old Pueblo Community Services Full time

    Re-Entry Monday - Friday Peer Recovery Support Specialist will provide services to support clients in the IOP program. Duties may include providing individual and group peer support services to clients. Employee Benefits Competitive Salary, Employer Subsidized Health Insurance for Employee and Family, Employer Matching 401 (k) plan (after 1 year),...

  • Certified Child Life Specialist

    1 week ago

    Tucson, Arizona, United States Banner Health Full time

    Primary City/State:Tucson, ArizonaDepartment Name:Child Life Specialists-HospWork Shift:DayJob Category:Clinical CareFind your path in health care. We want to change the lives of those in our care - and the people who choose to take on this challenge. If you're ready to change lives, we want to hear from you.As a Certified Child Life Specialist, you will be...

  • Behavior Support Specialist

    1 week ago

    Tucson, Arizona, United States SESI Schools Full time

    Position at SESI Schools Shine on as a behavior support specialist.In special education and alternative education settings nationwide, the team members of Specialized Education Services, Inc. (SESI) shine a positive light on students who need academic, emotional, social, and behavioral support and uncover the unique learner within. Have a profound impact,...

  • School Improvement Specialist

    1 week ago

    Tucson, Arizona, United States Amphitheater Public Schools Full time

    Job DescriptionJob DescriptionSupport school leaders and staff in the work of comprehensive school reform by facilitating the effective implementation of the Arizona School Improvement Plan in schools as a member of the District Intervention Team. Position DetailsREQUIRED:Valid Arizona Department of Education issued credential Experience in a leadership...

  • Hematology/oncology Full-Time position in Tucson, Arizona

    2 months ago

    Tucson, Arizona, United States Banner Health Full time

    ACADEMIC OPPORTUNITY IN Hematology Oncology / Melanoma SpecialistClinical and Faculty AppointmentsUniversity of Arizona Cancer Center and Banner-University Medicine in Tucson, AZBanner Health and University of Arizona Health Network have come together to form Banner-University Medicine, a health system making state-of-the-art care accessible to all Arizona...

  • contract specialist

    1 week ago

    Tucson, Arizona, United States Air Combat Command Full time

    Summary Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information.The primary purpose of this position is: To serve as the Chief of Contracting for Twelfth Air Force (Air Forces Southern), Logistics, Installation, and Mission Support Directorate, providing Operational Contract Support (OCS)...

  • Physician - Academics-Hematology and Oncology

    4 weeks ago

    Tucson, Arizona, United States Banner Health Full time

    ACADEMIC OPPORTUNITY IN Hematology Oncology / Melanoma Specialist: Clinical and Faculty AppointmentsUniversity of Arizona Cancer Center and Banner-University Medicine in Tucson, AZBanner Health and University of Arizona Health Network have come together to form Banner-University Medicine, a health system making state-of-the-art care accessible to all Arizona...

  • Physician - Academics-Hematology and Oncology

    2 months ago

    Tucson, Arizona, United States Banner Health Full time

    ACADEMIC OPPORTUNITY IN Hematology Oncology / Melanoma Specialist: Clinical and Faculty AppointmentsUniversity of Arizona Cancer Center and Banner-University Medicine in Tucson, AZBanner Health and University of Arizona Health Network have come together to form Banner-University Medicine, a health system making state-of-the-art care accessible to all Arizona...

  • contract specialist

    1 week ago

    Tucson, Arizona, United States Air Combat Command Full time

    Air Combat Command CONTRACT SPECIALISTDavis Monthan AFB , Arizona Apply Now Summary GS-09: The primary purpose of this position is to perform developmental assignments which are designed to provide the employee, who is serving in a trainee capacity, experience in pre-award and post award functions when they are well defined and well-precedented, using common...

  • Hematology/oncology Full-Time position in Tucson, Arizona

    2 months ago

    Tucson, Arizona, United States Banner Health Full time

    ACADEMIC OPPORTUNITY IN Hematology Oncology / BreastClinical and Faculty AppointmentsUniversity of Arizona Cancer Center and Banner-University Medicine in Tucson, AZBanner Health and University of Arizona Health Network have come together to form Banner-University Medicine, a health system making state-of-the-art care accessible to all Arizona residents. In...

  • Hematology/oncology Full-Time position in Tucson, Arizona

    3 months ago

    Tucson, Arizona, United States Banner Health Full time

    ACADEMIC OPPORTUNITY IN Hematology Oncology / Solid TumorClinical and Faculty AppointmentsBanner Health and University of Arizona Health Network have come together to form Banner-University Medicine, a health system making state-of-the-art care accessible to all Arizona residents. In Tucson, AZ, Banner-University Medicine is the clinical partner to the...

  • Physician-Ophthalmology: Pediatric

    3 weeks ago

    Tucson, Arizona, United States Banner Health Full time

    The Department of Ophthalmology and Vision Science (at the University of Arizona-Tucson and Banner University Medical Group) is actively seeking a fellowship-trained Pediatric Ophthalmology and Strabismus Specialist to join our growing Department led by Dr. Jonathan M. Holmes. The Pediatric Ophthalmology and Strabismus team also includes Mireille N. Jabroun...

  • Ophthalmology Full-Time position in Tucson, Arizona

    3 months ago

    Tucson, Arizona, United States Banner Health Full time

    The Department of Ophthalmology and Vision Science at the University of Arizona-Tucson and Banner University Medical Group (BUMG) is actively seeking an academic Ophthalmologist with fellowship training in Cornea and External Disease. This is an exciting opportunity for a Cornea Specialist to join a growing faculty team actively involved in clinical...

  • Ophthalmology Full-Time position in Tucson, Arizona

    4 weeks ago

    Tucson, Arizona, United States Banner Health Full time

    The Department of Ophthalmology and Vision Science at the University of Arizona-Tucson and Banner University Medical Group (BUMG) is actively seeking an academic Ophthalmologist with fellowship training in Cornea and External Disease. This is an exciting opportunity for a Cornea Specialist to join a growing faculty team actively involved in clinical...

  • Travel Nurse RN

    1 week ago

    Tucson, Arizona, United States LanceSoft Full time

    Job DescriptionLanceSoft is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Tucson, Arizona.Job Description & RequirementsSpecialty: ED - Emergency DepartmentDiscipline: RNStart Date: 06/24/2024Duration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelPerks: Day 1: Medical Benefits Reimbursement, Day 1:...

  • Neurology Full-Time position in Tucson, Arizona

    4 weeks ago

    Tucson, Arizona, United States Banner Health Full time

    The University of Arizona Department of Neurology at Banner - University Medicine Tucson is actively interviewing a board certified/eligible Neurologist with subspecialty training and experience in Movement Disorders and associated procedures. The person hired into this position will have the opportunity to work with nationally recognized functional...

  • Physician - Academics-Hematology and Oncology

    4 weeks ago

    Tucson, Arizona, United States Banner Health Full time

    ACADEMIC OPPORTUNITY IN Hematology Oncology / BreastClinical and Faculty AppointmentsUniversity of Arizona Cancer Center and Banner-University Medicine in Tucson, AZBanner Health and University of Arizona Health Network have come together to form Banner-University Medicine, a health system making state-of-the-art care accessible to all Arizona residents. In...

  • Physician-Hematology and Oncology

    4 weeks ago

    Tucson, Arizona, United States Banner Health Full time

    ACADEMIC OPPORTUNITY IN Hematology Oncology / Malignant Hematology/ Cellular TherapyClinical and Faculty AppointmentsUniversity of Arizona Cancer Center and Banner-University Medicine in Tucson, AZBanner Health and University of Arizona Health Network have come together to form Banner-University Medicine, a health system making state-of-the-art care...

  • Physician - Academics-Hematology and Oncology

    2 months ago

    Tucson, Arizona, United States Banner Health Full time

    ACADEMIC OPPORTUNITY IN Hematology Oncology / Malignant Hematology/ Cellular TherapyClinical and Faculty AppointmentsUniversity of Arizona Cancer Center and Banner-University Medicine in Tucson, AZBanner Health and University of Arizona Health Network have come together to form Banner-University Medicine, a health system making state-of-the-art care...