Credentialing Specialist II

1 week ago


Columbia, Missouri, United States MU Health Care Full time
About the Job

MU Health Care is seeking a skilled Credentialing Specialist II to support the credentials verification process for medical staff, advanced practice professionals, and University Physician (UP) billing staff. This role will be responsible for assembling, preparing, verifying, and presenting credentialing and re-credentialing application materials, ensuring ongoing maintenance of state and federal licensure/registration, and maintaining data integrity.

Key Responsibilities
  • Assemble and prepare credentialing and re-credentialing application materials for medical staff, advanced practice professionals, and UP billing staff.
  • Ensure ongoing maintenance of state and federal licensure/registration.
  • Maintain data integrity and correct identified data errors or inconsistencies.
  • Ensure compliance with regulatory bodies such as DNV, NCQA, and CMS, and MU Health Care medical staff bylaws and policies.
  • Identify conflicting or questionable information while processing applications and highlight sensitive information for the committee(s) as appropriate.
  • Maintain a state of readiness for review/audit by delegated credentialing entities, licensing, and accrediting agencies.
  • Utilize Medical Staff Office and other prescribed databases to produce reports, lists, and rosters.
  • Assure the confidentiality and integrity of the credentialing verification program and process.
Requirements
  • Bachelor's degree in business, health administration, finance, or an equivalent combination of education and experience.
  • Two (2) years of experience with graduate medical education, medical staff credentialing, HR, provider enrollment, or work that involves confirming work history, education, training, background, and/or reference checks.
  • Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) certification by the National Association of Medical Staff Services (NAMSS) is preferred.
About MU Health Care

MU Health Care is a growing academic health system in mid-Missouri comprised of multiple hospitals and over 50 specialty clinics. As an MU Health Care employee, you will be part of an exceptional team committed to our mission of saving and improving lives and supporting our team members to achieve their personal and professional goals.



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