- Grand Rapids, Michigan, United States
- Hybrid
- Full-time
- 2+ years
Directs and maintains accountability for complex, multi-faceted programs. Provides administrative support through the appropriate use of software and/or other tools. Exhibits initiative and knowledge to assure operations carry on in the usual manner in management's absence.
Responsibilities
- Initiates and supports the provider application process by sending, receiving, and analyzing provider documents and data import to determine completeness in preparation for the credential's verification process.
- Responsible for gathering, verifying and evaluating highly confidential and sensitive healthcare provider credentials consistent with departmental guidelines and accreditation standards.
- Efficiently performs all aspects of credentialing verification, including appointment and reappointment to ensure current credentials and timely handoff and/or review and approval of provider files.
- Responsible for accurate data entry to ensure the integrity of credentialing information in applicable database(s).
- Collaborates with Participating Medical Staff Offices, Department Directors and/or external agencies to facilitate and ensure smooth handoff during the credentialing process.
Requirements
- High School Diploma or equivalent
- Associate's Degree in related field
- Nice to have: Health plan or health system credentialing