Intermountain Health
Job Description
The Credentialing Specialist (CS) is responsible for facilitating Intermountain Health’s centralized verification office (CVO) program and will serve as the primary credentialing liaison for hospitals, providers, and/or network participating providers regarding credentialing services.
Shift M-F 8:00am-5:00pm. No weekends or holidays
Essential Functions
The CS will facilitate all aspects of Primary Source Verification program with accuracy and attention to detail, including but not limited to written verification of applicants education and/or training, experience, and direct verification with the source for all applications.
The CS will review and ensure accuracy of provider information in credentialing software directly with the source for all applications.
The CS processes initial credentialing and re-credentialing applications capturing primary source documentation in computer databases, prepares and keeps reports of credentialing activities such as accreditation, membership, or facility privileges, and ensures compliance with applicable laws, regulations, procedures and policies.
The CS stays current on credentialing guidelines and ensures all records and applications are up to date, ready for review by the Hospital Medical Staff Office and Medical Staff Committees.
The CS has frequent contact with system-wide medical staff services professionals, administrators, and practitioners.
The CS keeps the Central Verification Office (CVO) Leaders apprised of problems or concerns and performs other work‑related duties as assigned.
Incorporates accreditation and regulatory standards requirements into medical staff activities.
Maintains provider records, including expirable items and other necessary documents.
Skills
Medical Staff Credentialing
Communication
Organizing
Health Insurance Portability & Accountability Act (HIPAA)
Hospitals
Health Care
Data Entry
Customer Service
Critical Thinking
Multi-Tasking
Minimum Qualifications
Effective verbal and written communication skills and ability to work well with a team.
Intermediate level experience with Word, Excel, Adobe, and OneNote, and comfortable learning a sophisticated database program.
Ability to work with a variety of health care professionals, function with minimal supervision, be self‑motivated, keep confidences, adapt to frequent interruptions, solve problems, make decisions, and possess organization and good communication skills.
Working knowledge of TJC, NCQA standards, and state and federal guidelines and requirements.
Graduation from high school or equivalent, required.
Knowledge of medical terminology, required.
Preferred Qualifications
Bachelor’s Degree from an accredited institution.
Certified Provider Credentialing Specialist (CPCS) by the National Association of Medical Staff Services (NAMSS) or Certified Professional Medical Services Management (CPMSM) by NAMSS.
Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) within five (5) years of employment.
Minimum of one year experience in administrative work.
Experience as a medical staff coordinator, medical staff credentials specialist, or privileging coordinator.
One year experience in healthcare, legal, or insurance environment.
Physical Requirements
Ongoing need to see and read information, labels, documents, monitors, identify equipment and supplies, and assess customer needs.
Frequent interactions requiring verbal communication and listening.
Manual dexterity to manipulate complex and delicate supplies and equipment with precision and accuracy, including frequent computer use.
For roles requiring driving, expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
Location Nevada Central Office in Las Vegas, Nevada
Schedule 40 hours per week. M-F 8:00am-5:00pm. No weekends or holidays.
Compensation $24.00 - $36.54 hourly, actual rate dependent on experience.
Benefits We care about your well‑being – mind, body, and spirit – and provide a generous benefits package covering a wide range of wellness programs.
Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits).
Equal Opportunity Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Recruitment Process We use the artificial intelligence (“AI”) platform, HiredScore, to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment purposes.
Position Status All positions subject to close without notice.
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Shift M-F 8:00am-5:00pm. No weekends or holidays
Essential Functions
The CS will facilitate all aspects of Primary Source Verification program with accuracy and attention to detail, including but not limited to written verification of applicants education and/or training, experience, and direct verification with the source for all applications.
The CS will review and ensure accuracy of provider information in credentialing software directly with the source for all applications.
The CS processes initial credentialing and re-credentialing applications capturing primary source documentation in computer databases, prepares and keeps reports of credentialing activities such as accreditation, membership, or facility privileges, and ensures compliance with applicable laws, regulations, procedures and policies.
The CS stays current on credentialing guidelines and ensures all records and applications are up to date, ready for review by the Hospital Medical Staff Office and Medical Staff Committees.
The CS has frequent contact with system-wide medical staff services professionals, administrators, and practitioners.
The CS keeps the Central Verification Office (CVO) Leaders apprised of problems or concerns and performs other work‑related duties as assigned.
Incorporates accreditation and regulatory standards requirements into medical staff activities.
Maintains provider records, including expirable items and other necessary documents.
Skills
Medical Staff Credentialing
Communication
Organizing
Health Insurance Portability & Accountability Act (HIPAA)
Hospitals
Health Care
Data Entry
Customer Service
Critical Thinking
Multi-Tasking
Minimum Qualifications
Effective verbal and written communication skills and ability to work well with a team.
Intermediate level experience with Word, Excel, Adobe, and OneNote, and comfortable learning a sophisticated database program.
Ability to work with a variety of health care professionals, function with minimal supervision, be self‑motivated, keep confidences, adapt to frequent interruptions, solve problems, make decisions, and possess organization and good communication skills.
Working knowledge of TJC, NCQA standards, and state and federal guidelines and requirements.
Graduation from high school or equivalent, required.
Knowledge of medical terminology, required.
Preferred Qualifications
Bachelor’s Degree from an accredited institution.
Certified Provider Credentialing Specialist (CPCS) by the National Association of Medical Staff Services (NAMSS) or Certified Professional Medical Services Management (CPMSM) by NAMSS.
Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) within five (5) years of employment.
Minimum of one year experience in administrative work.
Experience as a medical staff coordinator, medical staff credentials specialist, or privileging coordinator.
One year experience in healthcare, legal, or insurance environment.
Physical Requirements
Ongoing need to see and read information, labels, documents, monitors, identify equipment and supplies, and assess customer needs.
Frequent interactions requiring verbal communication and listening.
Manual dexterity to manipulate complex and delicate supplies and equipment with precision and accuracy, including frequent computer use.
For roles requiring driving, expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
Location Nevada Central Office in Las Vegas, Nevada
Schedule 40 hours per week. M-F 8:00am-5:00pm. No weekends or holidays.
Compensation $24.00 - $36.54 hourly, actual rate dependent on experience.
Benefits We care about your well‑being – mind, body, and spirit – and provide a generous benefits package covering a wide range of wellness programs.
Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits).
Equal Opportunity Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Recruitment Process We use the artificial intelligence (“AI”) platform, HiredScore, to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment purposes.
Position Status All positions subject to close without notice.
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