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Credentialing Specialist

Company: Trinity Health
Location: Mishawaka
Posted on: January 18, 2023

Job Description:

**Employment Type:**Full time**Shift:****Description:**Coordinates credentialing process for participating entities through primary source verification of data and information, design, and implementation of effective systems to share information among participating entities.**JOB SUMMARY**Coordinates credentialing process for participating entities through primary source verification of data and information, design, and implementation of effective systems to share information among participating entities.**JOB DUTIES**1. Actively demonstrates the organization's mission and core values, and conducts oneself at all times in a manner consistent with these values.2. Knows and adheres to all laws and regulations pertaining to patient health, safety and medical information.3. Provides timely delivery of high quality credentialing information and conducts a formally defined quality control and performance improvement process for the Centralized Credentialing Office with periodically report to users.4. Initiates and coordinates the distribution and verification of initial and reappointment applications; ensures accuracy and completeness of all documentation. Serves as a primary liaison with other offices, individuals, and external institutions and agencies on day-to-day credentialing issues.5. Establishes, maintains, and updates files, databases, records, and/or other documents. Maintains Centralized Credentialing Policy and Procedure manual as agree upon by entities.6. Reviews and screens initial and reappointment medical staff credentialing applications for completeness, accuracy, and compliance with Centralized Credentialing Policies and Procedures.7. Facilitates monthly User's Group meetings.8. Ensures confidentiality of data as required by legal and organizational standards.9. Ensures quarterly billing is distributed in a timely fashion.10. Performs other duties consistent with purpose of job as directed.**JOB SPECIFICATIONS AND CORE COMPETENCIES**Education: High school diploma or equivalent.Associate degree in business or related field or equivalent level of education/experience (high school diploma and two to four years of Executive Assistant/Administrative or similar experience).Licensure: None.Experience: Two to four years of experience that is directly related to the duties and responsibilities specified.**Other Job Requirements:**Computer Competency: Competency with a standard desktop and standard office based computer system, including a basic understanding of email, e-learning, intranet and computer navigation. Demonstrated experience with word processing and spreadsheet software. Ability to use other software as required to perform the essential functions of the job. Medical terminology preferred.An understanding of organizational dynamics and administrative procedures and protocols. Ability to function in a dynamic, fast-paced team environment and to cope with ambiguity, time constraints, and other daily stressors in an effective and appropriate manner.Time management, prioritization and organizational skills including demonstration of an ability and willingness to plan, organize and accomplish tasks accurately and in a timely manner to exercise sound judgment under pressure and to manage multiple and competing activities simultaneously.Excellent communication skills including the ability to demonstrate diplomacy and tact, compose, spell, edit/proof, utilize appropriate grammar, and to relate in an appropriate interpersonal manner to all levels and types of individuals in a fashion that will earn credibility, respect, confidence and will generate mutual support.High degree of trust and demonstration of the ability to respect and appropriately handle confidential and sensitive information.Assigned hours within your shift, starting time, or days of work are subject to change based on departmental and/or organizational needs.**Our Commitment to Diversity and Inclusion**Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.Our Commitment to Diversity and InclusionTrinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.EOE including disability/veteran

Keywords: Trinity Health, Mishawaka , Credentialing Specialist, Other , Mishawaka, Indiana

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