Job Description

Role Description

The Credentialing Specialist supports the Professional Staff Office functions, including:

• Recredentialing and privileging of physicians and affiliated health professionals
• Managed care credentialing
• Credentials Committee documentation
• Administrative functions related to the Bylaws, Rules and Regulations, and Departmental Policies and Procedures
• Regulatory compliance

Qualifications

• Bachelor’s Degree in Business, Healthcare Administration, or Science, and/or related field plus 3 years in credentialing (medical staff services, provider enrollment, credentials verification organization or insurance plan credentialing) required
• High School, GED, and equivalent combination of education and experience (7 years with 3 years in required experience field(s))

Requirements

• Determines appropriate level of staff status for applications
• Advises Department Business Administrators
• Distributes initial and reappointment applications
• Requests additional documentation when necessary
• Ensures that time sensitive verifications used in credentialing process meet requirements; facilitates proper review of files
• Prints and reviews scheduled reports from the credentialing database
• Enters terminations in credentialing database and moves folders accordingly
• Runs reports and analyzes data accuracy, recommending and making changes as needed
• Assists with credentialing database system development
• Ensures compliance of all credentialing activities
• Perform other duties as needed

Benefits

• Health: Medical, Dental and Vision plans available for qualifying staff and family
• Holiday, Vacation and Sick Leave
• Education discount for staff and dependents (undergraduate only)
• Retirement: Up to 10% matched contribution from UAMS
• Basic Life Insurance up to $50,000
• Career Training and Educational Opportunities
• Merchant Discounts
• Concierge prescription delivery on the main campus when using UAMS pharmacy

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