Provider Data Specialist – Remote

Description

PeaceHealth is seeking a Provider Data Specialist for a Full Time, 1.00 FTE, Day position. Hourly compensation starts at $21.30, more depending on experience.

This position will be performed fully remote. If telecommuting, PeaceHealth will provide the caregiver with necessary computer equipment. It is the responsibility of the caregiver to provide Internet access.

Must reside in Washington, Oregon, Texas or Alaska.

Responsible for coordinating, processing, monitoring and maintaining the initial and reappointment confidential credentialing processes for medical staff and allied health practitioners, ensuring timeliness and compliance with PeaceHealth standards and criteria as well as all legal, regulatory and accreditation requirements. Perform primary source verification according to established policies. Responsible for the accuracy and integrity of the credentialing database system. Coordinates Payer Enrollment service processes for governmental and non-delegated third-party payers for Providers associated with PeaceHealth.

Details of the position:

• Initiates, coordinates, processes and monitors initial appointment and reappointment credentialing applications. Maintains tracking mechanisms.
• Gathers, verifies and evaluates healthcare provider credentials for initial and re-credentialing applications; identifies potential issues; determines if further investigation or information is necessary and makes appropriate inquiries; assesses completed applications to ensure PeaceHealth criteria are met and all necessary elements are present and correct.
• Ensures timely enrollment of new providers with 3rd party and government payers; and maintenance of existing active physicians and advanced practice providers. Enters and maintains data in the credentialing database. Assists with maintaining the expirable tracking system.
• Maintains credentials files and related records. Processes application requests from contracted entities; ensures correct application forms and complete packets are sent to provider.

What I bring:

• Two years business college, preferably in medical staff or health information technology, required or equivalent combination of education and experience that provides the requisite knowledge, skills and abilities to perform the job.

• Minimum of 2 years credential verification or healthcare administration required.

• Certification by the National Association of Medical Staff Services (NAMSS) as a Certified Professional Medical Staff Management (CPMSM) or a Certified Professional Credentialing Specialist (CPCS) required (or obtain certification within three years of employment).

For a full description of the position, or for questions, please email [email protected].

Must be fully vaccinated for COVID-19 including 2 doses of a 2-dose series or 1 dose of a 1-dose series plus 14 days beyond the final dose prior to start date.

See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.

For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.