Credentialing Specialist
Working Virtually
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 caregivers
- 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” in 2023
- 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.
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Working Virtually
Benefits/PerksCompetitive salary Comprehensive benefits package Dental Flexible schedules Medical Medical and Dental Benefits Opportunities for growth Paid Time Off Retirement Retirement benefits Safe workplaces Sense of belonging
Tasks- Analyze provider contracts
- Coordinate provider credentialing
- Monitor credentialing documentation
- Respond to inquiries
- Supervision
Administrative Clinical Collaboration Credentialing Database Management Health care Healthcare Healthcare Contracting Independent Judgment Judgment Leadership Organization Patient care Provider Relations Quality improvement Report generation
Experience3 years
EducationAS GED Healthcare High school diploma
CertificationsCertified provider credentialing specialist
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9