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Rose International

NEW JOB OPENING CREDENTIALING SPECIALIST IN Wailuku, HI, USA!

Rose International, Hilo, Hawaii, us, 96721

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Job Description

***Fully Remote, Candidate must be local to Hawaii Island though**** • Required Level of Education- HSD Required • Preferred Level of Education: Prefer College level of Education • How many years of related experience are you looking for in your ideal candidate?: At minimum 2 -3 years of related experience • Specific Systems Knowledge Required: Payer Portals, CAQH, Excel • Specific Systems Knowledge Preferred: EPIC System • Any Required Certifications?: Credentialing Certification Preferred • Expected Shift: 8am-4:30pm HST • Interview Process: In-Person or Teams Meeting • Top Three things Worker will be doing: Initial provider credentialing, recredentialing, facility/provider Out of State Enrollments • Top Three Skillsets needed: Very Organized, Critical Thinking Skills, Exceptional Attention to Detail and Effective Communication Skills • Anything else important we need to know to fill your role?:

(Under minimal supervision, initiates the appointment/credentialing and reappointment/recredentialing process, compiling and processing data in compliance with local, regional, state and federal accreditation requirements. Ensures thorough and timely verification of Licensed Independent Practitioner's (LIP) and Allied Health Professional Staff (AHP) credentials and privileges according to local and regional medical staff services policies and procedures for practitioners in both the hospital and/or ambulatory settings. Provide medical staff service support services to professional staff by supporting professional staff committee meetings, initiating the proctoring function, tracking of residents/medical students and acting as a resource for physicians, allied health professionals, medical center leadership and patients. Completes specific time-limited project assignments as delegated by Director of Medical Staff Services or Senior Medical Staff Coordinator. This position does not supervise others.

Essential Functions: • Ensure consistent documentation and complete verification of practitioner (LIP/AHP) credentials. • Provide required documentation to Chiefs of Service, Department Administrators, Medical Center Leaders and Committee Chairs/Members, as appropriate. • Process all applications for appointment/credentialing, reappointment/recredentialing via the local and regional medical staff/credentialing policies and procedures. • Partners with all necessary staff to ensure an integrated, timely, consistent product. • Collaborates with regional professional recruitment personnel and regional credentialing personnel to ensure timely credentialing prior to employment. • Maintains computerized database of practitioner data for use in the medical staff service program to assure data for all credentialed and privileged practitioners is consistently accurate and current. • Implements an efficient and effective communication system for transmission of electronic practitioner data to other users in the medical center for information (i.e., practitioner-specific privilege look-up for patient care units). • Implements an efficient and effective communication/transmission system of shared data to regional

**Only those lawfully authorized to work in the designated country associated with the position will be considered.**

**Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.**

Benefits: For information and details on employment benefits offered with this position, please visit here . Should you have any questions/concerns, please contact our HR Department via our secure website .

California Pay Equity: For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here .

Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.

If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department .

Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).