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About the Role
Coordinate the credentialing, re-credentialing, and payer enrollment process for providers in accordance with delegated credentialing agreements, policies and procedures, industry best practices, and regulatory requirements. Manage daily credentialing operations, including resolution of non-responsive providers. Work collaboratively with various clinic managers and the hospital medical staff office to ensure the successful and timely completion of the delegated credentialing and re-credentialing process.
Responsibilities
- Facilitates credentialing and re-credentialing for all physicians.
- Assist with processing pre-applications, provisional reviews, and periodic review of privilege criteria.
- Systematically evaluate work processes.
- Participate in conception, development and implementation of new programs.
- Maintains the medical staff database to ensure the upmost integrity of the system.
Requirements
- Degree in Business or health related field and Experience with Microsoft Word, Excel, and Website applications, upon hire
- Certified Provider Credentialing Specialist, upon hire
- Prof Medical Services Manager, upon hire
Skills
- Microsoft Word
- Excel
- Website applications
- Organizational skills
- Communication skills
- Manage complex administrative tasks
Location
- Kentucky
Work Type
- Full-time
Education Level
- Degree in Business or health related field
- Certified Provider Credentialing Specialist
- Prof Medical Services Manager
About the Company
- CHI Saint Joseph Medical Group is a full service network of primary care services specializing in family, internal, geriatric and pediatric care serving 88 locations across central and Eastern Kentucky.
- CHI Saint Joseph Medical Group is dedicated to delivering customized care based on the unique needs of our patients and is recognized as a Best Place to Work in Kentucky for two years in a row (2023-2024).
- CHI Saint Joseph Health is part of CommonSpirit Health, a non-profit, Catholic health system dedicated to advancing health for all people.
- CommonSpirit Health has approximately 175,000 team members and 25,000 physicians and advanced practice clinicians.
- CommonSpirit Health's commitment to serve the common good is delivered through the dedicated work of thousands of physicians, advanced practice clinicians, nurses, and staff; through clinical excellence delivered across a system of 140 hospitals and more than 2,200 care centers serving 24 states.