Job Description:

The Credentialing Specialist is responsible for facilitating Select Health’s credentials verification program and will serve as the primary credentialing liaison for providers regarding credentialing services.

The Credentialing Specialist will facilitate all aspects of the credentials verification program with accuracy and attention to detail. They will enter all information regarding providers into the credentialing software and other programs as needed.

The Credentialing Specialist is responsible for the following:

Processing initial credentialing and re-credentialing applications.Capturing primary source documentation in computer databases.Preparing records and applications to be reviewed by the Select Health Credentialing Committee.Maintaining reports of credentialing activities such as accreditation, membership, or facility privileges.Ensuring applications comply with applicable laws, regulations, procedures and policies.Monitoring credentialing data between credentialing and re-credentialing cycles. Remaining informed of any changes to credentialing guidelines.

The Credentialing Specialist will have frequent contact with system wide medical staff services professionals, administrators and/or medical directors, and providers.

The Credentialing Specialist must keep the Provider Development leadership apprised of problems or concerns and perform other work-related duties as assigned.

Required Qualifications

Associate degree. Education must be obtained through an accredited institution. Degree will be verified.

-or-

Three years of experience in a healthcare-related industry.

Experience working in the medical field in an administrative or support role.Demonstrated understanding of medical terminology.Effective verbal and written communication skills and the ability to work well with a team.Knowledge of computer technology is needed to perform job functions.Intermediate level experience with Word, Excel, Adobe, and OneNote.Must be comfortable learning a sophisticated database program.Demonstrated workload management/prioritization skills.Demonstrated ability to work through frequent interruptions, solve problems, make decisions, and possess excellent organization skills.Working knowledge of NCQA standards as well as state and federal guidelines and requirements.The incumbent must be able to work with a variety of healthcare professionals, function with minimal supervision, be self-motivated, and maintain confidentiality. 

Preferred Qualifications

Knowledge of SalesForce.Knowledge of CAQH.Bachelor’s degree. Education must be obtained through an accredited institution. Degree will be verified.Certified Provider Credentialing Specialist (CPCS) by NAMSS.Certified Professional Medical Services Management (CPMSM) by NAMSS.

Skills

Provider CredentialingTeamworkWritten and Verbal CommunicationAttention to DetailGroup Problem SolvingDecision MakingMedical TerminologyComputer TechnologyOrganizational skillsNCQA Standards

Physical Requirements:

Physical Requirements

Interact with others requiring the employee to communicate information.Operate computers and other office equipment requiring the ability to move fingers and hands.See and read computer monitors and documents.Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.

Location:

SelectHealth - Murray

Work City:

Murray

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

$23.30 - $35.48

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

All positions subject to close without notice.