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Provider Credentialing Coordinator

Company: Intermountain Healthcare
Location: Salt Lake City
Posted on: July 1, 2020

Job Description:

#### Job ID: #### Greater Salt Lake area #### Details: About Us Being a part of Intermountain Healthcare means joining a world-class team of over 37,500 employees and caregivers while embarking on a career filled with opportunities, strength, innovation, and fulfillment. Our mission is: Helping people live the healthiest lives possible. Our patients deserve the best in healthcare, and we deliver. To find out more about us, head to our career site here . Job Description The Provider Credentialing Coordinator is responsible for facilitating Intermountain's credential verification program and practitioner database. At the facility level, this position will serve as the primary credentialing coordinator. At the Corporate level the postion will provide centralized support to liaison for hospitals, practitioners, and/or insurance providers regarding credentialing services. Essential Job Duties + 1. Facilitates all aspects of credential verification program with accuracy and attention to detail. + 2. Sends initial appointment packets to practitioners with appropriate facility specific privilege request forms, bylaws and rules and regulations and other forms, and SelectHealth documents. + 3. Creates and maintains practitioner files. Receives initial appointment applications, assures completeness and verifies credentials as outlined on the application to include: Education and training, Peer references, Hospital affiliations, State licensures (including controlled substance licenses) and DEA. Queries the National Practitioner Data Bank. Also collects other pertinent information requested for Intermountain Healthcare. + 4. Coordinates reappointment dates for all practitioners participating in the credential verification program. Sends reappointment packets to practitioners, receives returned packets, assures completeness and verifies reappointment credentials, query hospital affiliations to verify continued competence, current state licensure (including controlled substance DEA certification), current malpractice coverage and claims history. Queries the National Practitioner Database. + 5. Enters new applicants and updates practitioner data into appropriate databases. Assists in the operation and maintenance of a system-wide practitioner database accessible by all Intermountain facilities. + 6. Prepares credentials summary and assembles reappointment packets for each facility to which the practitioner is applying or reapplying including SelectHealth for review and approval by the Director of Medical Staff Services. + 7. Gains and maintains a working knowledge of current JCAHO and NCQA standards as well as state and federal guidelines and requirements. + 8. Serves as the primary liaison between hospitals and practitioners, dealing with issues, questions, assessing needs and meeting expectations. Makes sure facilities and/or Insurance Providers follow through on initial appointments and reappointments in a timely manner. Has frequent contact with system wide medical staff services professionals, administrators and/or medical directors, and practitioners. + 9. Keeps the Medical Staff Services Director apprised of problems or concerns and assists in the preparation of reports, handle correspondence, arrange meetings, etc. Posting Specifics + Entry Rate: $19.98 + Benefits Eligible: Yes + Shift Details: Monday - Friday Regular Business Hours (Flexible based on need) + Department: Provider Credentialing + Additional Details: Position is located at the facility level (LDS Hospital Medical Staff Office). Primary responsibilities are in the areas of provider reappointments, provider advancements and coordinating facility-level provider credentialing activities in accordance with the hospital medical staff bylaws, and using a system-wide provider database (CACTUS). Position will work closely with other team members in the Salt Lake Valley Hospitals and with facility-level physician leaders. Minimum Requirements + Understanding of medical terminology. Physical Requirements + Manual Dexterity, Seeing Preferred Requirements + Bachelor's degree. Education must be obtained through an accredited institution. Degree will be verified. + Certified Professional Medical Services Management (CPMSM) by the National Association of Medical Staff Services.Associatesor Certified Provider Credentialing Specialist (CPCS) by the National Association of Medical Staff ServicesAssociates. + Three years of experience working in the medical field in an administrative support role. + Proficient in word processing and database applications as well as e-mail, calendaring and internet tools. + Knowledge of data collection methods. Please Note All positions subject to close without notice. Intermountain Healthcare prohibits discrimination on the basis of race, ethnicity, religion, color, national origin, sex, age, sexual orientation, gender identity/expression, veteran status, disability and/or genetic information. #### Additional Details: Working Hours 40 Primary Work Location Primary Children's Hospital Expertise Clerical / Secretarial / Business Office Support Job Type Full Time Location US-UT-Salt Lake City

Keywords: Intermountain Healthcare, Salt Lake City , Provider Credentialing Coordinator, Other , Salt Lake City, Utah

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