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Credentialing Specialist

1 month ago

Rock Island, Illinois, United States UnityPoint Health Full time
Job Summary

UnityPoint Health is seeking a highly organized and detail-oriented Credentialing Specialist to join our team. As a Credentialing Specialist, you will be responsible for the privileging of new Medical Staff and Allied Health Professional Staff applications, reappointment applications, and requests for new privileges for the Trinity Medical Center Medical Staff.

Key Responsibilities
  • Initial and reappointment credentialing for delegated credentialing processes
  • Send applications and record in SharePoint accordingly
  • Input data into credentialing software and keep appropriately updated
  • Prepare/Validate all privileging information is accurate and prepare for Credentials Committee discussion as well as Medical Executive Committee and local Board
  • Discuss any privilege delineations with Credentialing Committee Chair and other appropriate personnel prior to the Credentialing meeting
  • Assure required education for new privileges are met
  • Create new privilege delineation forms in accordance to national standards
  • Prepare packet for presentation at required approval meetings, obtain signatures
  • Notify appropriate members on provider approval and suspensions
  • Any extra requirements posed by the medical center such as restraint or fire safety training
  • Assure collection of Medical Staff Fees and Dues
  • Ensure life certifications are current
  • Ensure all EKG providers have privileges
  • Review terminations/notifications
Requirements
  • High School Diploma or GED required
  • Excellent communication skills both written and verbal
  • Knowledge of hospital credentialing
  • Knowledge of regulatory requirements from TJC, NCQA, CMS
  • Minimum of 2 years of experience in a hospital/medical related role
Preferred Qualifications
  • Associates Degree preferred
  • Database experience
  • CPCS certified
  • Valid drivers license when driving any vehicle for work-related reasons