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Credentialing Specialist

unlimited holidays - extra parental leave
Remote: 
Full Remote
Contract: 
Full time
Salary: 
58 - 83K yearly
Experience: 
Mid-level (2-5 years)
Work from: 
United States

Offer summary

Qualifications:

High school diploma or GED required, CPCS certification preferred, Minimum 3 years in credentialing or healthcare contracting, Minimum 3 years in an administrative role.

Key responsabilities:

  • Coordinates provider credentialing and re-credentialing
  • Analyzes provider contracts and documentation

MultiCare Health System logo
MultiCare Health System Large http://jobs.multicare.org
10001 Employees
About MultiCare Health System
MultiCare’s roots in the Pacific Northwest go back to 1882, with the founding of Tacoma’s first hospital. Over the years, we’ve grown from a Tacoma-centric, hospital-based organization into the largest, community-based, locally governed health system in the state of Washington. Today, our comprehensive system of health includes more than 300 primary, urgent, pediatric and specialty care locations across Washington, Idaho and Oregon, as well as 13 hospitals. We welcome patients from the entire Pacific Northwest region and our 20,000-plus team members — including employees, providers and volunteers — proudly care for the communities we serve. Without a doubt, our organization has changed over the years. But what has never changed, throughout our long history, has been our dedication to health and wellness of the people of the Pacific Northwest. Guided by our mission, vision and values, we are on continuous journey to deliver the services that our communities need, and to ensure access to those services, now and in the future.
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Job description

You Belong Here.

At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve.


FTE: 1.0, Shift: Day, Schedule: Exempt

Position Summary

The Credentialing Specialist works in partnership with the CVO Manager/Medical Staff Office Manager and Inland Northwest (INW) Region Director to assist in the organization and implementation of various projects and programs. Work will be performed under minimal supervision within established policies and latitude for independent judgment.

Responsibilities

  • Coordinates and performs all provider credentialing and re-credentialing services
  • Analyze provider contracts, applications and other material for completeness
  • Monitors credentialing documentation including current licensure, board certification and related functions
  • Utilizes the PECOS and CAQH credentialing database, optimizing efficiency, and performs query, report and documentation generation
  • Submits and retrieves National Practitioner Database reports in accordance with Health Care Quality Improvement Act
  • Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing issues as they arise

Requirements

  • High school diploma or GED
  • Certified Provider Credentialing Specialist (CPCS) preferred
  • Minimum three (3) years of experience with provider credentialing and/or healthcare contracting preferred
  • Minimum three (3) years in an administrative role

Our Values

As a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration and Kindness. Our values serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other.

Why MultiCare?

  • Belonging: We work to create a true sense of belonging for all our employees
  • Mission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serve
  • Market leadership: Washington state's largest community-based, locally governed health system
  • Employee-centric: Named Forbes “America’s Best Employers by State” for several years running
  • Technology: "Most Wired" health care system 15 years in a row
  • Leading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communities
  • Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn

Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $57,949.00 - $83,366.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.

Associated benefit information can be viewed here.

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Hard Skills

Health Care IndustryCredential ManagerDigital File ManagementReport GeneratorsDatabase Management

Other Skills

  • Collaboration
  • Communication
  • Problem Solving
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