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Credentialing Specialist
Banner Health
- Phoenix, Arizona, United States
- Phoenix, Arizona, United States
Über
Department Name BH Central Verification Office - Corp
Work Shift Day
Job Category Clinical Support
Location & Schedule This Credentialing Specialist role is remote with a preference for candidates in Arizona and Colorado. The schedule is Monday – Friday, 8 hour days with some flexibility.
Role Overview In this role you will be expected to evaluate requests, send credentialing applications, and analyze submitted applications for completeness. You will collaborate with other teams such as Physician Recruitment, Medical Staff Services, Practice Managers, etc., and support our nationally-recognized healthcare leader.
Position Summary This position performs the department’s credentialing work as outlined in the policies and procedures, obtains all primary source information, and maintains records of highly confidential information protected by applicable state statutes.
Core Functions
Performs the appropriate credentialing processes in a timely and complete manner.
Performs analysis and appropriate follow‑up, working with many individuals to acquire necessary materials and information.
Performs relevant data entry into the database to ensure consistency and integrity of the data.
Processes appropriate queries for expired licensure or any regulatory credentialing requirement and maintains documentation in the database.
Manages own duties and functions independently, exercising high degree of independent judgment on complex and sensitive credentialing issues.
Handles physician inquiries and problems within the scope of the job function and keeps supervisors apprised of all issues as they occur.
Provides optimal customer service to meet organizational expectations.
Minimum Qualifications • A strong knowledge of business and/or healthcare, normally obtained through an associate’s degree. • Three years of credentialing and/or process management and operations experience. • Basic knowledge of medical terminology, medical staff organization, and extensive credentialing procedures. • Experience interacting with physicians and allied health professionals, their office credentialing representatives, and hospital personnel. • Excellent verbal and written communication skills, with strong judgment in human relations. • Ability to meet deadlines in a multi‑functional task environment and maintain efficiency and timeliness in daily activities. • Excellent organizational skills and operational knowledge of work processing, spreadsheets, data entry, fax machines, and related computer skills.
Preferred Qualifications National Certified Provider Credentialing Specialist (NCPCS) certification preferred.
Employment Details
Seniority level: Associate
Employment type: Full‑time
Job function: Health Care Provider
Industry: Hospitals and Health Care
EEO Statement EEO/Disabled/Veterans. Our organization supports a drug‑free work environment.
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Sprachkenntnisse
- English
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