Job description
Overview
Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health, you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region. While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility, and more!
Responsibilities
JOB SUMMARY
Performs the provider credentialing and database maintenance processes based on department and organizational policy, procedure, and standards and guidelines set forth by The Joint Commission (TJC) and the National Committee for Quality Assurance (NCQA), URAC, State and Federal Government, and health plan payors. Incumbents are responsible for: 1) ensuring accurate and timely credentialing and subsequent submission of provider information to support appointing and claims submission; 2) ensuring accurate and timely data entry of provider demographics; and 3) performing as the point of contact for internal stakeholders, vendors and providers..
#LI-VMFH
Qualifications
Education/Work Experience:
Available Pay Transparency Information
$21.70 - $29.84 /hour
Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health, you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region. While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility, and more!
Responsibilities
JOB SUMMARY
Performs the provider credentialing and database maintenance processes based on department and organizational policy, procedure, and standards and guidelines set forth by The Joint Commission (TJC) and the National Committee for Quality Assurance (NCQA), URAC, State and Federal Government, and health plan payors. Incumbents are responsible for: 1) ensuring accurate and timely credentialing and subsequent submission of provider information to support appointing and claims submission; 2) ensuring accurate and timely data entry of provider demographics; and 3) performing as the point of contact for internal stakeholders, vendors and providers..
ESSENTIAL DUTIES:
Performs credentialing and re-credentialing processes according to departmental policies and procedures, various accreditations standards, health plan, state and Federal requirements.
Provides assistance and guidance to physicians and professional providers through the hospital privileging processes.
Prepares files, letters and summaries for Medical Staff Office and/or Franciscan Medical Group (FMG) Credentialing Committee review.
Maintains all written/verbal correspondence and data collection records regarding provider status and credentialing process.
Assists with productivity reporting.
Assists in preparation for health plan delegation oversight audits.
Performs credentialing and re-credentialing processes according to departmental policies and procedures, various accreditations standards, health plan, state and Federal requirements.
Provides assistance and guidance to physicians and professional providers through the hospital privileging processes.
Prepares files, letters and summaries for Medical Staff Office and/or Franciscan Medical Group (FMG) Credentialing Committee review.
Maintains all written/verbal correspondence and data collection records regarding provider status and credentialing process.
Assists with productivity reporting.
Assists in preparation for health plan delegation oversight audits.
#LI-VMFH
Qualifications
Education/Work Experience:
Two (2) years practitioner credentialing experience, or three (3) years administrative experience, that demonstrates attainment of the requisite job knowledge skills/abilities, preferably in a healthcare setting.
Licensure/Certification
Certified Provider Credentialing Specialist (CPCS) preferred, or able to obtain within two years of meeting prerequisites.
Certified Provider Credentialing Specialist (CPCS) preferred, or able to obtain within two years of meeting prerequisites.
Available Pay Transparency Information
$21.70 - $29.84 /hour
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