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Credentialing Coordinator

3 months ago

Phoenix, United States St Joseph Hospital & Medical Center Full time

**Overview**

Hello humankindness Located conveniently in the heart of Phoenix ArizonaSt. Josephs Hospital and Medical Center is a 571-bed not-for-profit hospital that provides a wide range of health social and support services. Founded in 1895 by the Sisters of Mercy St. Josephs was the first hospital in the Phoenix area. More than 125 years later St. Josephs remains dedicated to its mission of caring for the poor and underserved.We are extremely proud to be a nationally recognized center for quality quaternary care medical education and research. St. Josephs includes the internationally renowned Barrow Neurological Institute Norton Thoracic Institute Cancer Center at St. Josephs Ivy Brain Tumor Center and St. Josephs Level I Trauma Center (which is verified by the American College of Surgeons). The hospital is also a respected center for high-risk obstetrics neuro-rehabilitation orthopedics and other medical services. St. Joseph’s is considered a sought-after destination hospital for treating the most complex cases from throughout the world. Every day approximately 20 percent of the hospital’s patients have traveled from outside of Arizona and the United States to seek treatment at St. Joseph’s.U.S News & World Report routinely ranks St. Josephs among the top hospitals in the United States for neurology and neurosurgery. In addition St. Josephs boasts the Creighton University School of Medicine at St. Josephs and a strategic alliance with Phoenix Childrens Hospital.St. Josephs is consistently named an outstanding place to work and one of Arizonas healthiest employers. Come grow your career with one of Arizonas Most Admired Companies.Look for us on Facebookand follow us on Twitter.For the health of our community... we are proud to be a tobacco-free campus.

**Responsibilities**

The Credentialing Coordinator is responsible for coordinating the credentialing re-credentialing and payer enrollment process for the St. Josephs Medical Group and contracted providers in accordance with the Health Plans Delegated Credentialing Agreements PBS Department policies and procedures industry best-practices and regulatory requirements. Responsible for the daily credentialing operations including resolution of non-responsive providers and working with various clinic managers and the hospital medical staff office to ensure successful and timely completion of the delegated credentialing and recredentialing process.

**Responsibilities**:

- Responsible for the accuracy and integrity of data entered into the credentialing database system.
- Assist in designing/compiling other data supporting various statistics utilized internally to monitor operations.
- Responsible for continuous collection of information required to comply with delegated agreements and credentialing policies.
- Conducts credentialing database training for new hires, and refresher training for existing staff. Provides input for training materials and job aids.

Dignity Health now offers an Education Benefit program for benefit-eligible employees after 180 days. This program provides debt relief and student loan assistance to help you achieve your goals. Full-time employees can receive up to $18,000 over five years, while part-time employees can receive up to $9,000. While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, and adoption assistance.

**Qualifications**
**MINIMUM**

HS graduate

Three (3) years experience in a Health Care Plan Credentialing/Provider Relations and/or auditing setting or Health Care Enrollment

Proficient with CACTUS Software or similar credentialing system

Intermediate Microsoft programs skills (MS Word Excel Power Point)

Works well under stress and with shifting priorities

Builds successful customer relationships excellent oral and written communication skills are essential

Knowledge of NCQA standards and Joint Commission standards

Knowledge of commonly-used concepts practices and procedures used in health care and physician credentialing

**PREFERRED**

Bachelors degree or Certified Provider Credentialing Specialist

Five (5) years experience in a Health Care Plan Credentialing/Provider Relations and/or auditing setting or Health Care Enrollment

**Pay Range**
$22.95 - $33.28 /hour