Credentialing Specialist

Overview:
Fairview Range is hiring a Credentialing Specialist for our Medical Staffing Department in Hibbing, MN.

 

As a Credentialing Specialist, you will be responsible for processing, monitoring, maintaining, and managing credentialing files in compliance with Medical Staff Bylaws, facility policies, and regulatory and accrediting body requirements for initial credentialing, re-credentialing and payer enrollment and revalidation for Physicians and Allied Health Professional of the Medical Staff. Coordinate, verify and maintain files for accuracy and completion in a timely manner; perform functions and carry out responsibilities of medical staff service functions.

 

Schedule: This position will work 48 to 64 hours per two weeks. The shift length will be 8-hours on the day shift.  No weekends.

 

Benefits: This position is eligible for benefits such as medical, dental, vision, and so much more

 

About Fairview Range

Fairview Range is an affiliate of M Health Fairview, a partnership of Fairview Health Services, the University of Minnesota, and M Physicians. Together, we offer access to breakthrough medical research and specialty expertise as part of a continuum of care that reaches all ages and health needs. The most comprehensive health care network in northeastern Minnesota, Fairview Range includes Fairview Range Medical Center, Fairview Mesaba Clinics (with locations in Hibbing, Nashwauk, and Mountain Iron), Fairview Range Home Care and Hospice, and Fairview Transportation Services.  Are you interested in joining our incredible team? Seize the opportunity by applying today

 

Apply today to join our 34,000+ employees and 5,000+ system providers working to build lasting relationships with the people we serve: our patients, our communities, and each other. 

Responsibilities/Job Description:
As a Credentialing Specialist, you are responsible for: 

Maintaining, coordinating, processing, and managing credentialing and privileged file/s in an accurate and timely manner, for privileges and/or payer enrollment for initial, and reappointment applications.

Preparation, distributing, collecting, verifying and submission of applications for privileges and/or payer enrollment for initial, reappointment or resignations, in accordance with Medical Staff policies and procedures, Bylaws, CMS, TJC, includes pre-requisites forms and requirements for payer enrollees. (Independent and Government)

Coordinating and preparing Medical Staff Committee meetings. (Prepare meetings, take minutes, process and distribute appropriate correspondence, calendars and follow up, etc.)

Ensuring that all expendables are reviewed, obtained and current. (licenses, COI, certifications, OIG exclusion, collaborative/delegated agreements, etc.)

Assisting with various duties affecting Medical Staff Providers regarding their credentialing and privileging. (i.e. elections, provider orientations)

Qualifications:
Required Qualifications

Completion of two-year college degree in business related field.

One year of related experience in healthcare.

Preferred Qualifications

Bachelor's degree.

CPCS or CPMSM from National Association of Medical Staff Services or obtains within 2 years of hire.

2-3 years of credentialing or related experience.

Keywords:  Credentialing, business, healthcare

---