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Credentialing Specialist
Location:
Onamia, MN
Description:
Summary Assumes responsibility for identifying and maintaining the data necessary to insure that credential files are complete and appropriate for all the MLHS practitioners. The position requires a high degree of written and verbal communication with the medical staff, ancillary departments and administration. Other major job functions include but are not limited to obtaining provider and organization numbers from payers, coordinate the collection and aggregation of data pertaining to MS for the quality program. Diversified job requiring sustained mental effort and ability to deal with stresses related to interpersonal relationships. Job Duties The essential functions of this job are identified with an asterisk (*) at the end of the bullet point. Completes the credentialing and re-credentialing process for all MLHS Medical Staff. This includes but is not limited to, the background checks, AMA inquiries, NPDB inquiries, license verification and reference letters for all provisional and permanent members of the Medical Staff. Enters, updates and maintains data from provider applications into credentialing database, focusing on accuracy and interpreting or adapting data to conform to defined data field uses, and in accordance with internal policies and procedures. Completes the process for obtaining provider and organizational numbers from payers for any medical staff members for whom MLHS submits bills.* Completes process for obtaining facility numbers from payers for all MLHS entities. * Coordinates the collection and aggregation of medical staff quality data as part of the Medical Staff and Quality program. This encompasses all of the required elements of Medical Staff and Medical Record Review across the organization.* Maintenance of privilege cards for MLHS. * Also assists with other functions of the Health Information Department as necessary including but not limited to, charge entry, scanning, faxing, release of information, etc. * Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Employee will comply with all Mille Lacs Health System (MLHS) policies, including safety policies, procedures, and rules. All will be expected to report unsafe conditions to a member of management. Required Education and Experience High School diploma or GED required. Twp-year associate degree required (if no degree, plan to complete within 3 years of hire) Minimum one year clerical experience in healthcare setting Bachelor's degree preferred Previous Credentialing experience is ideal Job Posted by ApplicantPro
Company:
Mille Lacs Health System
Posted:
December 26 2023 on ApplicantPro
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More About this Listing: Credentialing Specialist
Credentialing Specialist is a Production Credentialing Specialist Job at Mille Lacs Health System located in Onamia MN. Find other listings like Credentialing Specialist by searching Oodle for Production Credentialing Specialist Jobs.
Credentialing Specialist is a Production Credentialing Specialist Job at Mille Lacs Health System located in Onamia MN. Find other listings like Credentialing Specialist by searching Oodle for Production Credentialing Specialist Jobs.