Credentialing Specialist- Hospital Med Department

Overview

UnityPoint-St Luke's

Part-Time

Days

The Credentialing Representative II is responsible for coordinating credentialing and privileging activities for medical staff and advanced practice providers in alignment with medical staff bylaws, regulatory standards, and organizational policies. In addition to managing application workflows, database updates, and document review, this role provides support in onboarding new team members, coordinating day-to-day credentialing tasks, and assisting with internal workflow prioritization. The Credentialing Representative II plays an integral role in maintaining accurate records, supporting regulatory readiness, and serving as a resource to peers and departments involved in the credentialing process.

Find a fulfilling career and make a difference with UnityPoint Health.

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. Here are just a few:

• Expect paid time off, parental leave, 401K matching and an employee recognition program.
• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.
• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

• Supports the Medical Staff Manager in providing assistance for applications for physicians and dentists requesting appointment to the medical and dental staff, including multiple contacts for verifying information submitted in the application.
• Supports the Medical Staff Manager in providing assistance for reappointment for one-half of the Medical and Dental Staff annually for a two-year reappointment term, including multiple contacts for verifying information submitted in the application.
• Processes privilege requests for initial and/or reappointment.
• Determines the appropriateness of providing application materials to potential applicants based on established criteria.
• Reviews documents for completeness, current licensure, valid board certification and professional liability insurance in compliance with policies and procedures and standards.
• Verifies information that requires primary source verification.
• Reviews professional and peer references, as appropriate.
• Creates a profile for all practitioners, including aggregate data and clinical competence.
• Organizes and completes credentialing and privileging from the CVO independently, efficiently, and in a timely manner.
• Maintains accurate attention to detail.
• Organizes and maintains credentialing and privileging files in order to facilitate retrieval and follow up with information that is readily accessible.
• Collects information from providers and participates in actions that ensure timely credentialing data collection.
• Processes requests for temporary privileges to meet patient and clinical needs in accordance with applicable standards and medical staff bylaws.
• Demonstrates initiative in organizing and prioritizing tasks, ensuring smooth workflow and positive outcomes.
• Meets urgent deadlines, multi-tasks, and works under pressure with interruptions while completing projects or tasks successfully.
• Assists in completion of outside hospital verification requests in a timely manner.
• Monitors and updates expiable to keep provider files current with physical or electronic copies on file.
• Assists with notifying practitioners and others of the governing body final decision of membership status or privileges to ensure proper documentation and communication.

• Education:
  
  High school…