Credentialing Specialist

Join to apply for the Credentialing Specialist role at Presbyterian Healthcare Services
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Be among the first 25 applicants.

This range is provided by Presbyterian Healthcare Services. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$18.33/hr - $30.23/hr

Location Address: 1100 Central Avenue SE, Albuquerque, New Mexico , United States of America

Minimum

Offer:

$18.33

Maximum Offer for this position: $27.25

• Analyze practitioner applications and/or requests to ensure that required documentation/information has been submitted in order to initiate the primary source verification processes.
• Conduct primary source verification of applicants education, licensure, professional work history, medical malpractice history for the purpose of determining competency and eligibility to be awarded membership and/or privileges.
• Prepare processed files for review by appropriate members of medical staff leadership, including identification of information that may require additional investigation.
• Utilize appropriate tracking tools for the purpose of ensuring timely completion of applications.
• Collect/analyze data from various sources to include with initial and/or reappointment applications. Such data includes but is not limited to focused professional practice evaluations, ongoing professional practice evaluations, and privileging eligibility criteria.

• High School Diploma or GED.
• One to three years experience in hospital medical staff or managed care credentialing preferred.
• Certification or eligibility for certification as a Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) is preferred.

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in your personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.