Credentialing Specialist

Full-time position (40 hours weekly)

We Value Our Employees By Offering:

  • Medical, Dental, Life, and Health Care Benefits
  • 3 weeks of PTO/sick time off plus 10 Holidays per year

Polara Health,Serving on the front-lines of mental health treatment in Yavapai County since 1966, Polara Health (formerly West Yavapai Guidance Clinic) is uniquely positioned to improve access for people in need of high quality and affordable holistic care. We are a beacon of hope, help and healing for over 7,000 individual and families and 1,300 children annually.  Focused on addressing the whole person through a client centered approach, we offer holistic, transformative services that are tailored to address the unique needs of each client, address the social determinants of health and ensure coordination of care with loved ones and other integrated service providers.

Job Summary:

Under the supervision of Compliance and Human Resources, provides administrative support to the clinical department chairpersons.  Initiates and follows through on reappointment process for the medical staff and allied health professionals, making sure that privileges and supporting documents are up to date and current. Responsible for the medical staff file updates, CAQH updates, NPDB updates and generating reports.

JOB REQUIREMENTS:

Minimum Education:  Minimum HS diploma or equivalent.

Minimum Work Experience:  Three years of experience performing highly responsible secretarial duties preferred.

Required Skills, Knowledge, and Abilities: 

  • Must have excellent computer skills.
  • Individual who is highly organized, detail oriented, and able to handle a multitude of tasks.
  • Excellent interpersonal skills.
  • Experience with the medical staff credentialing process and computer hardware/software.
  • Excellent verbal/written skills, including accurate and concise minute and report presentation skills.
  • Knowledge of Joint Commission, federal and state regulations.
  • Medical terminology knowledge.

MENTAL AND EMOTIONAL REQUIREMENTS 

  • Handles multiple priorities
  • Independent discretion/decision making
  • Makes decisions under pressure
  • Manages anger/fear/hostility
  • Manages stress appropriately
  • Works alone effectively
  • Works in close proximity to others and/or in a distracting environment
  • Works with others effectively

ESSENTIAL FUNCTIONS:

  • Tracks which members of the staff are due for reappointment.
  • Collects and compiles reports and enters data from the reports and reappointment file on to the physician profile.
  • Sends references for peers and all affiliations and verifies licenses(s), DEA, malpractice insurance, etc., with primary source agencies in accordance with board of registration regulations and JC standards.
  • Tracks all reappointment materials.
  • Prepares credentialing file for input into database. Researches missing information.
  • Prepares reappointment credentialing files for review, evaluation and approval from Board Committee.
  • Assists department Chief and Director in preparation for department meetings.
  • Generates reports to be used by the medical staff office to track physician credentials\
  • Queries the OIG data bank and National Practitioner Data Bank.
  • Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.
  • Promotes effective working relations and works effectively as part of a department/unit team inter- and intradepartmentally to facilitate the department's/unit's ability to meet its goals and objectives.
  • Other duties as assigned.

EOE/Non-smoking facility. Pre-employment drug screening/background check required. ** All candidates must be able to obtain a DPS Fingerprint Clearance card. 

It is the policy of Polara Health not to discriminate against any employee or any applicant for employment because of age, race, religion, color, handicap, sex, physical condition, disability, sexual orientation, protected veteran status or national origin.  This policy shall include, but not be limited to, the following:  recruitment and employment, promotion, demotion, transfer, compensation, selection for training including apprenticeship, layoff and termination.  Polara Health further agrees to take affirmative action to ensure equal employment opportunities.