Credentialing Specialist - Onboarding

Banner Health - Arizona Region, Mesa, AZ
(Full time)

Job ID:  70218 Location:  Mesa AZ
Posted Date:  10/23/2009 Shift:  Day
Category:  Clerical/Administrative/ Business Support Department :  BCCM
Facility:  Banner Health - Arizona Region Position Type:  Full-Time-FA
Shift Hours:  Day Hours Per Week:  ..


OverView:
Banner Health is the leading healthcare company in Arizona and the 2nd largest private employer in the state. With over 34,000 employees across 7 states we are a proven industry leader and an established company. Banner is currently seeking a Credentialing Specialist. This position will be located in Mesa, AZ (Country Club & Brown). This is a full-time position (40 hours/week).

Responsibilities:
This position performs the department's credentialing work as outlined in the policies and procedures. Obtains all primary source information necessary for the initial and reappointment verification process for all organizational facilities and entities. The incumbent maintains records and the integrity of highly confidential information that is protected from discovery by applicable state statutes. Credentialing Specialist will be responsible for:- Performing the credentialing processes for all initial applications and reappointments in a timely and complete manner. - Performing analysis and appropriate follow-up of each initial application and reappointment. Will work with physicians, professional staff and physicians office staff to acquire necessary materials and information.- Performs relevant data entry into the database to ensure consistency and integrity of the data.- Processes appropriate queries for expired licensure, professional liability insurance and DEA certification information and maintains documentation in the database.

Qualifications:
Must possess a strong knowledge of business and/or healthcare as normally obtained through the completion of an associates degree.Must possess a strong knowledge and understanding of healthcare planning as normally demonstrated through three years of credentialing and/or process management and operations experience. Requires a basic knowledge of medical terminology, medical staff organization and extensive knowledge of credentialing procedures. Must have experience in interacting with physicians and allied health professionals, their office credentialing representatives, and hospital personnel.Must have excellent communication skills, both verbal and written, along with astute judgment in areas of human relations. Must demonstrate an ability to meet deadlines in a multi-functional task environment. Requires excellent organizational skills and operational knowledge working with work processing, spreadsheets, data entry, fax machines, and other computer related skills. Must, at all times, maintain efficiency and timeliness in all daily activities. Must be able to establish daily work priorities and work efficiently to contribute to the successful overall maintenance of the credentialing process. Provides optimal customer service to meet the organizations expectations.PREFERRED QUALIFICATIONSNational Certified Provider Credentialing Specialist (NCPCS) certification preferred.Additional related education and/or experience preferred.

 
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( AllHealthcareJobs Job ID:605595 last updated on 11/20/2009)