Credentialing Specialist presso Presbyterian Healthcare Services
Presbyterian Healthcare Services · Albuquerque, Stati Uniti d'America · Onsite
- Professional
- Ufficio in Albuquerque
Presbyterian is seeking a highly detail-oriented Credentialing Specialist to conduct comprehensive background investigations on physicians and healthcare providers seeking affiliation with our Albuquerque and regional facilities.
- This is a Full Time position - Exempt: No
- Job is based at Presbyterian Hospital
- Work hours: Days
Ideal Candidate:
Experience in hospital medical staff or manager care credentialing preferred.
Qualifications:- High School Diploma.
- One (1) to three (3) years experience in hospital medical staff or managed care credentialing preferred.
- Certification or eligibility for certification as a Current certification as a Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred.
Education Essential: High School Diploma or GED
Responsibilities:- Analyze practitioner applications and/or requests to ensure that required documentation/information has been submitted in order to initiate the primary source verification processes
- Conducts primary source verification of applicants' education, licensure, professional work history, medical malpractice history for the purpose of determining competency and eligibility to be awarded membership and/or privileges
- Prepares processed files for review by appropriate members of medical staff leadership, including identification of information that may require additional investigation
- Utilizes appropriate tracking tools for the purpose of ensuring timely completion of applications
- Collects/analyzes data from various sources to include with initial and/or reappointment applications. Such data includes but is not limited to focused professional practice evaluations, ongoing professional practice evaluations, and privileging eligibility criteria
- Process other credentialing requests, as assigned, in accordance with established policies and procedures
- Responsible for on-boarding and/or orientation of new Medical Staff members, according to established policies and procedures
About Presbyterian Healthcare Services
Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits.
The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities - like challenges, webinars, and screenings - with opportunities to earn gift to earn gift cards and other incentives.
As a mission-driven organization, Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers' markets and local partnerships. Founded in 1908, Presbyterian is a locally owned, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group. With nearly 14,000 employees, it is the largest private employer in the state, serving over 580,000 health plan members through Medicare Advantage, Medicaid, and Commercial plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
