Fairview Health Services

  • Credentialing Specialist

    Job Locations US-MN-St Paul
    Requisition Post Information* : Posted Date 3 weeks ago(10/29/2018 2:39 PM)
    Requisition ID
    2018-26224
    Profession
    Non-Clinical Support Staff
    Speciality
    Administrative/Clerical/Customer Service
    Location
    Fairview offices at Energy Park
    Shift
    day
    Hours per 2 weeks
    80
    Department
    Central Credentialing
  • Overview

    Fairview Health Services is looking for a Credentialing Specialist  based out of the Fairview offices at Energy Park in St Paul, Minnesota.  This is a full time, 80 hours every two weeks, benefit eligible position. The schedule will be Monday – Friday during primary business hours.

    Responsibilities/Job Description

    Credentialing Specialists works with medical and professional staff applying for appointment or reappointment to Fairview Physician Associates, Behavioral Health Providers networks or Clinics only without privileges to ensure complete, timely and smooth completion of processes.   Ensures all processes and verifications meet the National Committee for Quality Assurance (NCQA) standards.  Credentialing Specialists assure that practitioner’s license, DEA, and malpractice insurance are current at all times. Processes requests for verification of hospital affiliations.

    • Imports applications and enters date into the credentialing database
    • Assists practitioners with completion of applications and required forms
    • Processes applications following policies and NCQA standards within the established amount of time and assuring quality goals are met
    • Enters data into the database
    • Obtains verifications, run queries
    • Reviews and assess all verifications to determine eligibility of applicants to meet criteria

    Qualifications

    Required Qualifications

    • 1 year Healthcare or administrative experience

     Preferred Qualifications

    • Two year college or equivalent, preferably in medical office or health information technology.
    • 2 years of credentialing related experience
    • CPCS or CPMSM certification through the National Association of Medical Staff Services (NAMSS)

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