Credentialing Specialist (Finance)
At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.
As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.
UC Health is committed to providing an inclusive, equitable and diverse place of employment.
This is a multi-faceted position encompassing elements of administrative tasks, customer service, and credentialing verifications. Prepares, documents, and completes credentialing data processes including applications and verifications for Medical and Advanced Practice Providers. Performs administrative tasks, such as compiling data from providers, preparing applications, maintaining clean and organized files, and maintaining current documents and enrollments for providers.Minimum Required: High School Graduate diploma or GED required. | CPCS (Certified Provider Credentialing Specialist) is preferred. | 1-4 Years in a business office. Health care and credentialing experience in hospital, physician office, or managed care preferred.Coordinates physician credentialing documents to perform primary source verification in accordance with accreditation standards.
Receives, documents, tracks and communicates credentialing requirements with the applicant.
Provides appropriate new or renewal application materials for hospital/clinic.
Verifies provider credentialing information at appropriate intervals to comply with departmental timelines.
Obtains and verifies required credentialing information using primary source standards.
Obtains and verifies required provider identification and qualifications.
Obtains and notifies providers of credentialing deadlines.
Enters information into appropriate database.
Maintains accurate provider information for the medical staff office, provider enrollment team as well as the EPIC data feed.
Performs routine audits to identify upcoming expirables. (ie, license, dea, board certifications, etc)
Completes provider information to produce an accurate credentialing file/document for MSO review.
Transmits provider credentialing information for submission.
Provides administrative assistance to providers, managers and medical staff.
Responds to internal and external credentialing related requests
Provides professional communications verbally, electronically or in writing.
Creates customized documents and reports as requested.
Performs tasks in a professional and confidential manner to all requests and maintains an organized work space to ensure efficient workflow process.
Attends and provides support for meetings as assigned.
Performs other duties as assigned.Coordinates physician credentialing documents to perform primary source verification in accordance with accreditation standards.
Receives, documents, tracks and communicates credentialing requirements with the applicant.
Provides appropriate new or renewal application materials for hospital/clinic.
Verifies provider credentialing information at appropriate intervals to comply with departmental timelines.
Obtains and verifies required credentialing information using primary source standards.
Obtains and verifies required provider identification and qualifications.
Obtains and notifies providers of credentialing deadlines.
Enters information into appropriate database.
Maintains accurate provider information for the medical staff office, provider enrollment team as well as the EPIC data feed.
Performs routine audits to identify upcoming expirables. (ie, license, dea, board certifications, etc)
Completes provider information to produce an accurate credentialing file/document for MSO review.
Transmits provider credentialing information for submission.
Provides administrative assistance to providers, managers and medical staff.
Responds to internal and external credentialing related requests
Provides professional communications verbally, electronically or in writing.
Creates customized documents and reports as requested.
Performs tasks in a professional and confidential manner to all requests and maintains an organized work space to ensure efficient workflow process.
Attends and provides support for meetings as assigned.
Performs other duties as assigned.
