Credentialing Specialist

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Job Description - Credentialing Specialist

CHI Memorial Hospital now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health is once again the only hospital in the Chattanooga area to be named a Best Regional Hospital by U.S. News & World Report. We are proud to be the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia. We offer the following benefits to support you and your family: On-site childcare with extended hours premium account for additional support with children pets dependent adults and household needs Employee Assistance Program (EAP) for you and your family Paid Time Off (PTO) Health/Dental/Vision Insurance Flexible spending accounts Voluntary Protection: Group Accident Critical Illness and Identify Theft Adoption Assistance Tuition Assistance for career growth and development Matching 401(k) and 457(b) Retirement Programs Wellness Program Additional incentives for eligible full time day shift and night shift opportunities

Reporting to the Network Credentialing Manger, you will be responsible for credentialing process for re-credentialing for the members of the MHS Network. Respectful of highly sensitive issues and documents.
Duties Include, but not limited to
Processing re-credentialing applications as applicable according to the MHS policy /
procedure and NCQA. Assisting in new applications as needed.
Provides administrative support to the MHS Director, Committees.
Participate in delegation audits
Work with Credentialing Committee and Board of Directors to interpret, explain and
follow guidelines established by the Network.
Monitor and revise credentialing forms as needed.
Monitor, maintain files including Licensure, DEA, Insurance, other updates.
Basic clerical functions including faxing, copying and filing.
Timely follow up on pending credentialing issues.
Other duties as assigned.

Associates Degree or equivalent work experience of 2-5 years in a Medical
Staff office, NAMSS certification or achieved within guidelines of the program.

 

Microsoft / Google products or other spreadsheets databases,
customer relations, and excellent telephone skills required. MSOW Credentialing
Software. Excellent written and oral communication skills. Excellent presentation and
public speaking skills. Must be a self starter and have a proven record of working
independently. Must have a professional appearance and demeanor.

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