Credentialer

Description

:Coordinate system-wide credentialing, privileging and payor enrollment for Essentia Health's providers and/or facilities. Additional responsibilities may include: coordinate and staff various committees (Credentials, Medical Executive Committee, Board, Medical Staff); provide guidance and support to physician and non-physician leadership; coordinate physician/credentialed provider expirables; represent department at state and Joint Commission surveys; coordinate revision of bylaws, rules and regulations and policies; research enrollment issues and claim denials; audit physician/credentialed provider/facility paperwork for accuracy; maintain database. Ability to research issues, think critically, exhibit excellent verbal and written communication skills, learn and follow processes, coordinate and meet multiple ongoing deadlines, and understand policies, bylaws, rules and regulations, health care laws and regulations.

Work Experience:
2 years’ office experience, including extensive use of Excel, Outlook, Microsoft office products and software programs. Proficient typing and data entry skills. Experience in a health care setting preferred.

Education Qualifications:

Associates degree preferred.

Licensure/Certification Qualifications:

No certification/licensure required.

FTE:

1

Possible Remote/Hybrid Option:

Shift Rotation:

Hybrid - Day Rotation (United States of America)

Shift Start Time:

8:00am

Shift End Time:

4:30pm

Weekends:

Holidays:

No

Call Obligation:

No

Union:

Union Posting Deadline:

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