Job Description
Company Overview:
Cleveland Clinic is a renowned healthcare organization dedicated to providing high-quality patient care, innovative research, and medical education. With a strong focus on excellence and patient-centered care, Cleveland Clinic is committed to improving the health and well-being of individuals and communities.
Key Responsibilities for Credentialing Specialist:
- Conduct thorough credentialing and re-credentialing processes for healthcare providers to ensure compliance with regulatory standards
- Verify professional licenses, certifications, and education credentials of providers
- Maintain accurate and up-to-date provider credentialing files and databases
- Collaborate with internal departments and external organizations to obtain necessary credentialing information
- Monitor and track expiration dates of licenses and certifications to facilitate timely renewals
- Assist in resolving credentialing issues and discrepancies as they arise
- Stay updated on industry regulations and standards related to provider credentialing
Required Qualifications:
- Bachelor's degree in Healthcare Administration, Business Administration, or related field
- Minimum of 2 years of experience in provider credentialing within a healthcare setting
- Strong knowledge of credentialing processes, regulations, and accreditation standards
- Excellent attention to detail and organizational skills
- Proficiency in using credentialing software and databases
- Ability to work independently and collaboratively in a fast-paced environment
- Strong communication and interpersonal skills
Desired Skills:
- Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) credential
- Experience working with Electronic Medical Records (EMR) systems
- Knowledge of National Committee for Quality Assurance (NCQA) and Joint Commission accreditation standards
- Familiarity with managed care contracts and enrollment processes
Compensation & Benefits:
The annual salary range for the Credentialing Specialist position at Cleveland Clinic in Boise, Idaho is $50,000 to $70,000, commensurate with experience and qualifications. In addition to competitive pay, Cleveland Clinic offers a comprehensive benefits package that includes health insurance, retirement plans, paid time off, professional development opportunities, and employee wellness programs.
How to Apply:
To apply for the Credentialing Specialist position at Cleveland Clinic in Boise, Idaho, please visit our careers page on the Cleveland Clinic website and submit your resume and cover letter online. We look forward to reviewing your application and potentially welcoming you to our team. Thank you for your interest in joining Cleveland Clinic.
Required Skills
- Healthcare Compliance
- Regulatory Knowledge (HIPAA
- OSHA
- JCAHO)
- Policy Implementation