Fairview Health Services Credentialing Coordinator in St Paul, Minnesota
Fairview Health Services is looking for a Credentialing Coordinator based out of the Fairview Offices at Energy Park in St. Paul, Minnesota. This is a full time, 80 hours every two weeks, benefit eligible positon. The hours for this position will be standard business hours M-F.
Credentialing Coordinators work with medical and professional staff applying for appointment or reappointment to any single or combination of Fairview entities to ensure complete, timely and smooth completion of verification and privileging processes. Ensures all processes and verifications meet the National Committee for Quality Assurance and Joint Commission’s (JC) standards. Credentialing Coordinators assist in establishing policies, procedures and job duties, and in staff training
Imports applications and enters data into the credentialing database
Processes applications following policies, NCQA, and JC standards within the established amount of time and assuring quality goals are met
Obtains verifications, run queries
Reviews and assess all verifications to determine eligibility of applicants to meet criteria Flags any issues for further review
Reviews and determines compliance with privilege criteria
Determines completeness of applications through Quality Review processes
Communicates with medical staff offices
Assists in establishing policies, procedures and process improvements
Assists in staff training
Functions as a resource to customers and entities on credentialing and privileging issues
Assists with other duties as assigned
Two years business/technical college OR 2 years of experience in a credentialing related position
1 year experience in a credentialing related position or similar experience
Associate degree, medical terminology
2 years of hospital credentialing experience
CPCS or CPMSM certification through the National Association of Medical Staff Services (NAMSS)
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Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Joined by HealthEast in June 2017, Fairview is one of the most comprehensive and geographically accessible systems in the state, with 12 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area and north-central Minnesota.
Its broad continuum also includes 56 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership with the University of Minnesota, Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.
EEO/AA Employer/Vet/DisabledAll qualified applicants will receive consideration without regard to any lawfully protected status.
Requisition ID 2018-26535
Profession Non-Clinical Professional
Speciality Administrative/Clerical/Customer Service
Location Fairview offices at Energy Park
Hours per 2 weeks 80
Department Central Credentialing