M

Credentialing Specialist

salary Salary :

$58,510 - 84,219 yearly

icon briefcase Job Type : Full Time

Number of Applicants

 : 

000+

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Job Description - Credentialing Specialist

You Belong Here.

At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve.


FTE: 1.0, Shift: Day, Schedule: Day

Position Summary

The Credentialing Specialist works in partnership with the CVO Manager/Medical Staff Office Manager and Inland Northwest (INW) Region Director to assist in the organization and implementation of various projects and programs. Work will be performed under minimal supervision within established policies and latitude for independent judgment.

Responsibilities

  • Coordinates and performs all provider credentialing and re-credentialing services
  • Analyze provider contracts, applications and other material for completeness
  • Monitors credentialing documentation including current licensure, board certification and related functions
  • Utilizes the PECOS and CAQH credentialing database, optimizing efficiency, and performs query, report and documentation generation
  • Submits and retrieves National Practitioner Database reports in accordance with Health Care Quality Improvement Act
  • Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing issues as they arise

Requirements

  • High school diploma or GED
  • Certified Provider Credentialing Specialist (CPCS) preferred
  • Minimum three (3) years of experience with provider credentialing and/or healthcare contracting preferred
  • Minimum three (3) years in an administrative role

Why MultiCare?

  • Rooted in the local community – Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years

  • Growth and education – Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in your future

  • Well-being and support – Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared for at work and in life

  • Living our values – Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other

  • Belonging for all – Employee Resource Groups, inclusion initiatives and outreach programs support a workplace where every voice is valued

  • Pacific Northwest lifestyle – Work and live where natural beauty, adventure and strong community connections are part of everyday life

Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $58,510.00 - $84,219.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.

Associated benefit information can be viewed here.

Original job Credentialing Specialist posted on GrabJobs ©. To flag any issues with this job please use the Report Job button on GrabJobs.
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