Credentialing Specialist

Credentialing Specialist

Full Time; 1st Shift

Rock Island, IL

The Credentialing Specialist is responsible for the privileging of new Medical Staff and Allied Health Professional Staff applications, reappointment applications and requests for new privileges for the Trinity Medical Center Medical Staff. This position is responsible for timely processing and tracking of Medical Staff files, including primary source verification, review of information, and additional research as needed. This position shall serve as a liaison between providers, physician hospital organization (PHO), System CVO staff and regulatory agencies.

At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in. Here are just a few:

• Expect paid time off, parental leave, 401K matching and an employee recognition program.

• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.

• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

Credentialing/Privileging

• Initial and reappointment credentialing for delegated credentialing processes

• Send applications and record in SharePoint accordingly

• Input data into credentialing software and keep appropriately updated

• Prepare/Validate all privileging information is accurate and prepare for Credentials Committee discussion as well as Medical Executive Committee and local Board.

• Discuss any privilege delineations with Credentialing Committee Chair and other appropriate personnel prior to the Credentialing meeting.

• Assure required education for new privileges are met

• Create new privilege delineation forms in accordance to national standards

• Prepare packet for presentation at required approval meetings, obtain signatures

• Notify appropriate members on provider approval and suspensions

• Any extra requirements posed by the medical center - such as restraint or fire safety training

• Assure collection of Medical Staff Fees and Dues

• Ensure life certifications are current

• Ensure all EKG providers have privileges

• Review terminations/notifications from insurance providers

• Create reports for various committees for review and approval

• Create and send final letters of appointment privileges to providers

• Prepare and present to accreditation surveyors

• Responsible for responding to requests for provider privileging information timely

• Work with CVO and provider practice administrative staff to support credentialing needs

• Audit, correct and communicate to all appropriate parties, corrections of provider data in the credentialing/privileging database.

Education: High School Diploma or GED required

*Specific offers are determined by various factors, such as experience, skills, internal equity, and other business needs. The salary range listed does not include other forms of compensation which may include bonuses/incentive, differential pay, or other forms of compensation or benefits that may be applicable to this role.