Credentialing Specialist

1 week ago


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

We are seeking a highly organized and detail-oriented Credentialing Specialist to join our team at UnityPoint Health. 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.

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 and validate all privileging information is accurate and prepare for Credentials Committee discussion
  • 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
  • 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 driver's license when driving any vehicle for work-related reasons
Why UnityPoint Health?

We offer a competitive Total Rewards program that includes benefits options like 401K match, paid time off, and education assistance. We are committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation. We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.


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