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Check with seller Credentialing Verification Specialist - Work from Home Salt Lake City

Published date: April 3, 2022
  • Location: Salt Lake City, Utah, United States

Position Overview:
Candidates hired for this role must live in one of the following states: Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Missouri, Montana, Nevada, North Carolina, South Carolina, Tennessee, Texas and Utah

Performs day-to-day activities to analyze primary source verification of licensure, education, training, professional references, and experience of applicants for medical staff or Allied Health membership. Prepares and sends primary source verification requests. Reviews received primary source verification and follows up as necessary. Reviews new applications to ensure no data is missing and enters any new information into Credentialing Verification database. Generates re-application reports and corresponds with affiliates to initiate the re-application process. Regularly performs more complex Credentialing Verification functions. Reviews the work of and provides guidance and direction to Credentialing Verification Processors as needed.

Supports creating and building Credentialing Verification Team that is focused on delivering results by providing effective coaching by seeking and responding to regular performance feedback and helping in orientation and appropriate training of team members.

Supports the success of a high-performing shared services organization by helping to champion and drive the long-term Sutter Shared Services vision. Helps foster an environment in which continuous improvement in business processes and services is welcomed and recognized. Participates in programs and in using tools in support of building a high performance culture via the standard Sutter Shared Services responsibilities (e.g. performance measurement, people development, customer relationship management, etc.).

Qualifications:

  • High school diploma or equivalent Or equivalent education/experience required.
  • Associate's degree desired.
  • Certified Provider Credentialing Specialist (CPCS) or Certified Professional in Medical Services Management preferred.
  • A total of three years of experience in the medical services profession within the past five years is required
  • Credentialing experience in a CVO or equivalent in a hospital, medical group, Health Maintenance Organization (HMO) or insurance company as typically acquired in 2 years is required
  • Experience with computer data entry and general office procedures is required
  • Experience with Credentialing Verification systems and relational database applications is required (preferably Echo)
  • Experience with a start-up organization is a plus
  • Demonstrated knowledge of credentialing principals is required
  • Demonstrated knowledge of credentialing requirements / regulations relating to acute and non-acute facilities is required
  • Ability to perform day-to-day Credentialing Verification activities to ensure that customer priorities are met
  • Organization and prioritization skills
  • Ability to communicate ideas both verbally and in writing, and strong listening skills
  • Ability to professionally handle public contact is required
  • Ability to operate effectively in a fast-paced environment with changing priorities and working with multiple customers
  • Ability to use credentialing software to obtain routine and special reports needed by the department
  • Ability to enter data into a computer database accurately
  • Ability to type at least 40 Correct Words Per Minute
  • Ability to scan and organize data on a shared collaborative work site
  • Proficiency in Microsoft Word, Excel, Access and PowerPoint and Credentialing Verification systems and applications such as Echo
  • Requires the ability to work with and maintain confidential information
Organization:Sutter Shared Services
Employee Status: Limited Term
Benefits: Yes
Position Status: Non-Exempt
Union: No
Job Shift: Day
Shift Hours:8 Hour Shift
Days of the Week Scheduled:Monday-Friday
Weekend Requirements: None
Schedule: Full Time
Hrs Per 2wk Pay Period:80
Applications Accepted:All Applications Accepted

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