Credentialing Specialist

CommonSpirit Health
Fargo, ND Full Time
POSTED ON 6/10/2024
*Overview*

  • This position will be on site at Dickinson, North Dakota*
  • **LOCAL CANDIDATES ONLY ***

Job Summary / Purpose Responsible for coordinating, monitoring, and maintaining the credentialing and re-credentialing process. Facilitates all aspects of CHI Health System credentialing and CHI Health Credentialing Verification Organization.

This includes initial appointment, reappointment, expirables process, as well as clinical privileging for Medical Staff and Advanced Practice Clinicians. Ensures interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing. Responsible for the accuracy and integrity of the credentialing database system and related applications.

CHI Health strives to care for you the way you care for your patients.

We understand you have personal responsibilities outside of your profession and also care about your well-being.

  • With you in mind, we offer the following benefits to support your work/life balance:* * *
  • Health/Dental/Vision Insurance
  • Direct Primary Plan (No copay, no deductible, and access to CHI Health provider 24/7)
  • Premium Access to our Family Care Program supporting your needs for childcare, pet care, and/or adult dependent care
  • Voluntary Protection: Group Accident, Critical Illness, and Identity Theft
  • Employee Assistance Program (EAP) for you and your family
  • Paid Time Off (PTO)
  • Tuition Assistance for career growth and development
  • Matching 401(k) and 457(b) Retirement Programs
  • Adoption Assistance
  • Wellness Programs
  • Flexible spending accounts

CommonSpirit Health is a nonprofit Catholic health system dedicated to advancing health for all people. It was created in February 2019 by Catholic Health Initiatives and Dignity Health. With its national office in Chicago and a team of over 150000 employees and 25000 physicians and advanced practice clinicians CommonSpirit operates more than 2000 care sites from clinics and hospitals to home-based care and virtual care services. 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*

Essential Key Job Responsibilities

  • Reviews practitioner applications and accompanying documents, ensuring applicant eligibility.
  • Conducts thorough background investigation, research and primary source verification of all components of the application file.
  • Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up.
  • Prepares credentials file for completion and forwards all information to the applicable entities ensuring file completion within time periods specified.
  • Processes requests for privileges, ensuring compliance with criteria outlined in clinical privilege descriptions.
  • Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise.
  • Assists with managed care delegated credentialing audits.
  • Utilizes the Medical Staff credentialing database, optimizing efficiency, and performs query, report and document generation.
  • Monitors the initial, reappointment and expirables process for all medical staff, APC staff, and delegated
  • Qualifications*
  • Qualifications*
  • High School diploma or equivalent required
  • Ability to communicate effectively, both orally and in writing.
  • Program planning and implementation skills.
  • Knowledge of related accreditation and certification requirements.
  • Knowledge of medical credentialing and privileging procedures and standards.
  • Ability to analyze, interpret and draw inferences from research findings, and prepare reports.
  • Working knowledge of clinical and/or hospital operations and procedures.
  • Informational research skills.
  • Ability to use independent judgment to manage and impart confidential information.
  • Database management skills including querying, reporting, and document generation.
  • Ability to make administrative/procedural decisions and judgments.
  • PREFERRED Qualifications*
  • Knowledge of related accreditation and certification requirements.
  • Knowledge of medical credentialing and privileging procedures and standards.
  • Working knowledge of clinical and/or hospital operations and procedures.
  • Pay Range* $18.83 - $25.89 /hour

If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

Sign up to receive alerts about other jobs that are on the Credentialing Specialist career path.

Click the checkbox next to the jobs that you are interested in.

Income Estimation: 
$44,839 - $56,404
Income Estimation: 
$51,754 - $64,550
Income Estimation: 
$44,839 - $56,404
Income Estimation: 
$51,754 - $64,550

Sign up to receive alerts about other jobs with skills like those required for the Credentialing Specialist.

Click the checkbox next to the jobs that you are interested in.

  • Account Reconciliation Skill

    • Income Estimation: $36,410 - $48,760
    • Income Estimation: $37,877 - $47,719
  • Data Control Skill

    • Income Estimation: $37,410 - $47,205
    • Income Estimation: $39,053 - $50,614
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Job openings at CommonSpirit Health

CommonSpirit Health
Hired Organization Address Bismarck, ND Full Time
Overview* Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the l...
CommonSpirit Health
Hired Organization Address Valley, ND Full Time
Overview* DIRECTOR OF HOME HEALTH & HOSPICE - Home Health & Hospice...Your time at work should be fulfilling.* Rewarding...
CommonSpirit Health
Hired Organization Address Devils Lake, ND Contractor
Overview* Work in the heart of #humankindess at CHI St. Aleixus Health Devils Lake. Working as a Med Tech at our Critica...
CommonSpirit Health
Hired Organization Address Dickinson, ND Full Time
Overview* CHI St. Alexius Health Dickinson part of CommonSpirit Heath a national nonprofit health system based in Englew...

Not the job you're looking for? Here are some other Credentialing Specialist jobs in the Fargo, ND area that may be a better fit.

Specialist

Waxing the City of South Dakota/North Dakota/Iowa, Fargo, ND

Specialist

RNDC, Fargo, ND