Additional Information
Department Name:
BH Central Verificatn Ofc-Corp
Work Shift:
Day
Job Category:
Clinical Support
A rewarding career that fits your life. Learn how Banner Health, a certified Great Place To Work®, prioritizes team members and strives to be the best place to work in health care.
Banner Health has a great opportunity for a Credentialing Specialist in a high-volume Centralized Verification Office. This position supports the initial credentialing of providers for hospital membership and privileges, while working with a dynamic team supporting 30 hospitals in 6 states.
The ideal candidate will understand industry requirements and be familiar with credentialing databases, as demonstrated through three years of credentialing experience.
Generally Monday to Friday 8 am to 4:30 pm
This is a remote position if you reside in Arizona or Colorado allowing you to work from home exclusively.
Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.
POSITION SUMMARY
This position performs the department's credentialing work as outlined in the policies and procedures. Obtains all primary source information necessary for all organizational facilities and entities. The incumbent maintains records and the integrity of highly confidential information that is protected from discovery by applicable state statutes.
CORE FUNCTIONS
1. Performs the appropriate (applicable) credentialing processes in a timely and complete manner.
2. Performs analysis and appropriate follow-up. Works with many individuals to acquire necessary materials and information, including, but not limited to: physicians, facility staff, professional staff and physicians' office staff.
3. Performs relevant data entry into the database to ensure consistency and integrity of the data.
4. Processes appropriate queries for expired licensure, or any appropriate regulatory credentialing requirement and maintains documentation in the database.
5. The incumbent performs and completes activities within the parameters established by the director and supervisor and as outlined in the facility/entity documents. Manages own duties and functions independently. Work requires the constant exercise of a high degree of independent judgment in response to complex and sensitive credentialing issues, decision making and discretion. Uses independent decision making processes and handles assigned duties in a meaningful and confidential manner with a minimum of supervision. Handles physician inquiries and problems within the scope of job function and keeps supervisors apprised of all issues as they occur. Department and hospital responsibility. Internal customers include facility medical staff services, physicians, hospital personnel, corporate staff, hospital management, and volunteers. External customers include but are not limited to regulatory/accrediting and licensing agencies, legal entities, state and national databases, other hospitals and the general public.
Bannerhealth · Remote