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CommonSpirit Health Credentialing Specialist in BRYAN, Texas

Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.

Responsibilities

JOB SUMMARY / PURPOSE

Processing credentialing and recredentialing applications accurately and in a timely manner; review files for application completion in compliance with The Joint Commission standards, NCQA standards and Medicare/Medicaid standards.

ESSENTIAL KEY JOB RESPONSIBILITIES

  1. Process primary verification data during the credentialing and recredentialing of providers.

  2. Prepare verification letters.

  3. Maintain database for provider credentialing and recredentialing.

  4. Contact medical office staffs, licensing agencies and insurance carriers to complete credentialing and recredentialing applications.

  5. Handle confidential information in an appropriate manner.

  6. Support OPPE and FPPE processes.

  7. Performs other duties as assigned to meet the organization`s needs.

Qualifications

Licensure and Certifications / Minimum Knowledge, Skills and Abilities

  • Education

Required: High school diploma or equivalent (GED)

Preferred: Associate degree or equivalent

  • Experience

Required: 2-5 years prior office work experience

Preferred: Five to seven years credentialing experience

  • Skills

Required: Microsoft Office proficiency

Preferred: Credentialing experience

  • Licensure/Certifications

Preferred: CPCS, within one year of eligibility

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Equal Opportunity

CommonSpirit Healthâ„¢ is an Equal Opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.

External hires must pass a post offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances .

If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request . We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).

CommonSpirit Health participates in E-verify.

Requisition ID 2020-130286

Employment Type Part Time

Department Medical Staff Services

Hours Per Pay Period 0

Facility CHI St. Joseph Health Regional Hospital

Shift Varied

Standard Hours Varied

Work Schedule Varies

Location TX-BRYAN

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