Employment Type:Full timeShift:Day Shift

Description:Process credentialing forms/applications for new and existing Holy Cross Medical Group physicians accurately and in a timely manner.Monitors/tracks status of credentialing information via hard copy and computerized program, and performs appropriate follow-up.Assures the accuracy of the status of Medical Group physicians in relation to participation in Medicare, Medicaid, and managed care plans.Establish and implement systems to adhere all credentialing criteria of Medicare, Medicaid, and managed care plans.Proofreads applications and backup material for accuracy before submission to Medicare, Medicaid, and managed care plans.Records are organized and easily available for review.Maintains file copies of applications/recredentialing material sent back to insurance plan for each HCMG physician.Works closely with the Medical Staff Team.Participate in all audits and CAPS with payers to ensure delegated credentialing.Works with MSOW software.Works with Sympler and keeps it updated.Verifies all education and training.Obtains professional references.Verifies all licenses/certifications.Contacts appropriate Department Chief for review of all material.All information is presented in a timely manner to appropriate committees.

Minimum Qualifications:

High school graduate or equivalent required.EPIC experience highly preferredThree to five years' experience in a healthcare environment or a Medical Staff Office.Proficient in Microsoft Word and Excel.Ability to perform with little or no supervision.Familiar with Medical Terminology.Strong organizational skills and attention to detail.Ability to communicate effectively.

Our Commitment to Diversity and Inclusion
 

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.