Credentialing Specialist - Credentialing
Penn State Health
**Penn State Health** - **Penn State Health Corporation**
**Location:** US:PA: Hershey
**Work Type:** Full Time
**FTE:** 1.00
**Shift:** Day
**Hours:** 7:00a - 3:30p
**Recruiter Contact:** Shelley Cooper at scooper4@pennstatehealth.psu.edu (MAILTO://scooper4@pennstatehealth.psu.edu)
**SUMMARY OF POSITION:**
Responsible for day to day credentialing activities of the medical and allied health staff, and support the Manager, Medical Staff Services with all activities related to the appointment and reappointment processes as well as manage the day to day maintenance of credentialing records (electronic and paper).
**ESSENTIAL FUNCTIONS** : The percentage of time spent performing essential functions is 85%. Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:
+ Receives, evaluates and processes initial and reappointment applications including performing all applicable credentialing and re-credentialing verification functions.
+ Reviews the medical staff application for completeness and accuracy to initiate the verification process; verifies receipt of requested documentation to support the credentialing, provider enrollment and human resource processes and review; identifies adverse information, if applicable, analyzes licensure status and enters file into specialty database.
+ Provides a summary of the file to the Manager, Medical Staff Services for final evaluation and approval of credentialing.
+ Maintains accurate credentials for each provider (e.g. license status and expirations, board certifications, reappointments and malpractice coverage).
+ Generates and analyzes reports from specialty database to monitor credentials of each provider.
+ Communicates with providers and assigned departments to gather current credentials, as needed.
+ Coordinates and monitors medical and allied health staff licensure applications/status changes. As it relates to allied health, changes in scope of practice or supervision require submission of licensing applications to State Board of Medicine, Nursing, etc. to keep licensure status current.
+ Maintains credentialing database/Find A Physician, MSO website, reports, analysis of data.
+ Communicates with internal and external colleagues and resources.
+ Participates in scheduled audits by outside sources such as regulatory agencies or third party payors.
**MINIMUM QUALIFICATIONS:**
+ Associates Degree plus 1 year job related experience required OR 3 years job related experience required.
**KNOWLEDGE, SKILLS, & ABILITIES:**
+ Intermediate computer skills required (word processing, data management, Excel, Powerpoint, Access, email).
+ Oral and written communications skills required.
+ Organizational and project management skills required.
+ Ability to analyze data and resolve conflicts required.
**PREFERRED QUALIFICATIONS:**
+ Excellent computer skills preferred (Word, Excel, Access, website management).
+ Certified Provider Credentialing Specialist (CPCS) and/or Certified Professional Medical Services Management (CPMSM) preferred.
+ Credentialing experience preferred.
**WHY PENN STATE HEALTH?**
Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community.
**Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:**
+ **_Be Well_** with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton).
+ **_Be Balanced_** with Generous Paid Time Off, Personal Time, and Paid Parental Leave.
+ **_Be Secured_** with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection.
+ **_Be Rewarded_** with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program.
+ **_Be Supported_** by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling.
**WHY PENN STATE HEALTH CORPORATION?**
There are many ways to make an impact with one of the leading research, teaching, and clinical healthcare systems in the country. Through a combination of operational, corporate, clinical, and nonclinical roles, we are advancing excellence and innovation in health care together as one team. As Penn State Health continues to evolve for the future, we are committed to hiring dedicated employees who are passionate about delivering the best possible support across our entire integrated health system.
Within Penn State Health’s Shared Services Entity, we encourage our employees at every turn to continue their education and advancement. Numerous opportunities are available for professional development and career growth.
**YOU TAKE CARE OF THEM. WE’LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence – that’s Penn State Health. But what makes our healthcare award-winning? That’s all you.**
_This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract._ _All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities._
_Penn State Health is fundamentally committed to the diversity of our faculty and staff. We believe diversity is unapologetically expressing itself through every person's perspectives and lived experiences. We are an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information._
**Union:** Non Bargained
**Position** Credentialing Specialist - Credentialing
**Location** US:PA: Hershey | Quality | Full Time
**Req ID** 77708
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