CREDENTIALING SPEC - NON-CERT, PREMIER HEALTH CVO

Education

Education Required: High School completion / GED                                            

Additional requirements:

Preferred educational qualifications: Associates Degree

Licensure/Certification/Registration:

*National Association of Medical Staff Services (NAMSS) certification as a Certified Provider Credentials Specialist (CPCS), or as a Certified Professional in Medical Services Management (CPMSM) required after three years of employment.

Experience:

Experience Required: 1 - 3  years of job-related experience

Prior job title or occupational experience: Medical staff privileging/credentialing processes or managed care provider credentialing preferred.

Preferred experience: Medical staff privileging/credentialing processes or managed care provider credentialing preferred. Experience using CAQH database is preferred.  

Other experience requirements: Cactus or credentialing software experience is required. 

Knowledge/Skills:

Demonstrated proficiency in Microsoft Word and Excel, database management and basic computer knowledge.  Knowledge of medical terminology.  Possess good communication skills (writing and verbal), diplomacy, tact, attention to detail and problem solving skills. Must be able to work with all levels of the organization which includes practitioners, administration and hospital staff.  Coordinate, organize, prioritize, and handle multiple projects with many disruptions.  Highly motivated and able to work independently in a high volume department. Willingness to adapt to flexible work schedules.  Loyal, reliable, tactful, honest and discreet, maintaining confidentiality at all times.  Exhibit professional appearance and demeanor.