Medical Staff Credentialing Specialist

Denver Health Denver, CO
Job Summary

Under minimal supervision coordinates, monitors and maintains the credentialing and re-credentialing process for the Medical Staff and Allied Health Professionals. Ensures compliance with the accrediting and regulatory agencies (i.e., TJC, NCQA, and CMS) in regards to credentialing while developing and maintaining a working knowledge of the statues and laws. Assists in the development, planning, and implementation of the credentialing and privileging process. Responsible for the integrity of the credentialing and privileging database and for ensuring the timeliness of credentialing and re-credentialing verifications.

Minimum Qualifications

Education 1. Graduation from High School or equivalent required. Experience 1. Two years of experience in credentialing and privileging or related healthcare position required. Knowledge, Skills and Abilities 1. Knowledge of TJC, NCQA and CMS credentialing standards preferred. 2. Ability to handle multiple tasks, simultaneously. 3. Ability to interpret and apply policies and procedures. 4. Ability to communicate in a professional and positive manner. 5. Must be able to work independently and meet schedules and deadlines. Computers and Technology 1. Knowledge of Microsoft Office Suite. 2. Proficiency with web-based searches Certificates, Licenses and Registration 1. CPCS or CPMSM certification preferred.

All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment hasbeen made.

Denver Health is an integrated, efficient, high-quality academic health care system that is considered a model for the nation. The Denver Health system includes the Rocky Mountain Regional Level I Trauma Center, a 525-bed acute care medical center, Denver's 911 emergency medical response system, 8 family health centers, 15 school-based health centers, the Rocky Mountain Poison and Drug Center, the Denver Public Health Department, an HMO, and The Denver Health Foundation.

As Colorado's primary safety net institution, Denver Health is a mission-driven organization that has provided more than $3.3 billion in care for the uninsured in the last ten years. Denver Health is a leader in performance and quality improvements and remains financially secure, in part, due to its nationally recognized implementation of lean principles in healthcare. Denver Health is a major resource to the community, serving approximately 185,000 individuals and 67,000 children a year.

Located just south of downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).

"Denver Health is committed to provide equal treatment and equal employment opportunities to all applicants and employees. Denver Health is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class."