Job Detail

Credentialer - Essentia Health
Fargo, ND
Posted: Oct 27, 2023 07:42

Job Description

Job Description:

Coordinate system-wide credentialing, privileging and payor enrollment for Essentia Health's providers and/or facilities. Additional responsibility may include: coordinate and staff various committees (Credentials, Medical Executive Committee, Board, Medical Staff); provide guidance and support to physician and non-physician leadership; coordinate physician/credentialed provider expirables; represent department at state and Joint Commission surveys; coordinate revision of bylaws, rules and regulations and policies; research enrollment issues and claim denials; audit physician/credentialed provider/facility paperwork for accuracy; maintain database. Work Experience: Minimum of two years' experience in an office setting, preferably healthcare. Experience researching issues, thinking critically, learning and following processes, coordinating projects, meeting multiple ongoing deadlines, and interpreting and understanding policies, bylaws, rules and regulations. Extensive knowledge and experience with Excel, Outlook Microsoft office products and software programs. Excellent verbal and written communication skills and attention to detail. Experience with staffing meetings, and working with leadership, preferred.

Education Qualifications:

Associates degree preferred

Licensure/Certification Qualifications:

No certification/licensure required.

FTE

1

Shift Rotation

Day Rotation (United States of America)

Shift Start Time

8:00 am

Shift End Time

4:30 pm

Pay Range

$20.91 - $31.37 / hour

The approximate base compensation range is posted, but the actual offer will reflect our total compensation and benefits package. The offer will be determined by a number of factors including the selected candidate's experience, knowledge, skills, abilities, FTE, as well as internal equity among our team.

Effective December 1, 2019: Job offers are contingent upon successful completion of a post-offer assessment, including a urine drug screen, immunization review, proof of required vaccinations, and background check. Essentia Health is committed to maintaining a work environment free from the influence of illegal drugs and alcohol.

Essentia Health EEO:

Essentia Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, sexual identity, national origin, disability, protected veteran status, or any other characteristic protected by law.

Equal Employment Opportunity (EEO) at Essentia

It is our policy to afford EEO to all individuals, regardless of race, religion, color, sex, pregnancy, gender identity, national origin, age, disability, family medical history, genetic information, sexual orientation, marital status, military service or veteran status, culture, socio-economic status, status with regard to public assistance, and other factors not related to qualifications, including employees or applicants who inquire about, discuss, or disclose their compensation or the compensation of other employees or applicants, or membership or activity in a local human rights commission, or any other category as defined by law.



Job Detail


Company Overview

Essentia Health

Fargo, ND