Credentialing Specialist

Location Address

1100 Central Ave SE Albuquerque, NM 87106-4930 Compensation Pay Range: Minimum Offer $19.25 Maximum Offer $28.61 Now Hiring: Credentialing Specialist

Summary

Job Description 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. Type of Opportunity: Full time Job Exempt: No Job is based: Presbyterian Hospital Work Shift: Days (United States of America)

Responsibilities

• Some key responsibilities include: 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.

Qualifications

• High School Diploma or GED.
• One (1) to three (3) years experience in hospital medical staff or managed care credentialing preferred.
• Certification or eligibility for certification as a Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) is preferred.
• All

Benefits

• -eligible Presbyterian employees receive a comprehensive

Benefits

• package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary

Benefits

• .
• Wellness Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being.
• Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.
• Why work at Presbyterian?
• As an organization, we are committed to improving the health of our communities.
• From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
• About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve.
• We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group.
• Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.
• Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
• AA/EOE/VET/DISABLED.
• PHS is a drug-free and tobacco-free employer with smoke free campuses.
• We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services