Credentialing Specialist

Credentialing Specialist

locations

Remote, USA

time type

Full time

job requisition id

JR64155

FTE: 1.0, Shift: Day, Schedule: Day

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

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 $58,510.00 - $84,219.00 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.