Job Description:

RESPONSIBILITIES:

Kforce has a client in Salt Lake City, UT that is seeking a Credentialing Specialist responsible for facilitating the company's centralized credentials verification program. They will serve as the primary credentialing liaison for hospitals, providers and/or network participating providers regarding credentialing services.

Responsibilities:

• Facilitate all aspects of centralized credentials verification program with accuracy and attention to detail


• Enter all information regarding providers into the credentialing software and other programs as needed


• Processes initial credentialing and recredentialing applications capturing primary source documentation in computer databases


• Prepares and keeps reports of credentialing activities like accreditation, membership, or facility privileges


• Makes sure the applications comply with applicable laws, regulations, procedures and policies


• Stay on top of any changes to credentialing guidelines and make sure all records and applications are up to date and ready to be reviewed by Credentialing Committees


• Will have frequent contact with system wide medical staff services professionals, administrators and/or medical directors, and practitioners


• Must keep the Medical Staff Services Director apprised of problems or concerns and perform other work related duties as assigned


• Will utilize computer technology to perform job functions

REQUIREMENTS:

• Demonstrated understanding of medical terminology.


• Experience working in the medical field in an administrative or support role.


• Effective verbal and written communication skills and the ability to work well with a team.


• Iintermediate level experience with Word, Excel, Adobe and OneNote, and must be comfortable learning a sophisticated data base program


• Demonstrated workload management/prioritization skills


• Able to work with a variety of health care professionals


• Able to function with minimal supervision


• Self-motivated, keep confidences, have ability to adapt to frequent interruptions


• Ability to solve problems and make decisions


• Possess organization and good communications skills


• Working knowledge of TJC, NCQA standards as well as state and federal guidelines and requirements

The pay range is the lowest to highest compensation we reasonably in good faith believe we would pay at posting for this role. We may ultimately pay more or less than this range. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. This range may be modified in the future.

We offer comprehensive benefits including medical/dental/vision insurance, HSA, FSA, 401(k), and life, disability & ADD insurance to eligible employees. Salaried personnel receive paid time off. Hourly employees are not eligible for paid time off unless required by law. Hourly employees on a Service Contract Act project are eligible for paid sick leave.

Note: Pay is not considered compensation until it is earned, vested and determinable. The amount and availability of any compensation remains in Kforce's sole discretion unless
and until paid and may be modified in its discretion consistent with the law.

This job is not eligible for bonuses, incentives or commissions.

Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

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