Credentialing Specialist-CVO

Credentialing Specialist I-Credentials Verification Organization (CVO)

HSHS is seeking a Credentialing Specialist I-Credentials Verification Organization (CVO). This position will work remotely and will coordinate multiple projects (i.e. credentialing re/applications) at one time. Primary work functions utilize the credentialing database and both Microsoft Office (Word and Excel) and Google products. This role works closely with other team members to meet deadlines. The primary functions include Initial Application Credentialing, Reappointment Credentialing and Coordination of expirable documents.

Pay Range: $22.05 - $33.08

A successful candidate's actual pay rate will be based on several factors including relevant experience, skills, training, certifications and education.

Position Specifics:

• Department: Medical Staff/Physician Services
• Core Function: Clinical Support
• Schedule: Full time, 40 hours/week, Day shift
• Facility: Remote

Accepting applications for level I or level II credentialing specialists

Education Qualifications:

• High School Diploma or GED is required.
• Associate's or Bachelor's Degree Health Care Administration or related field is preferred.

Experience Qualifications:

• 2 years clerical experience is required.
• 2 years of experience in healthcare is preferred.
• 2 years of Hospital Credentialing or Payor Credentialing experience is preferred.

Certifications, Licenses and Registrations:

• Certified Provider Credentialing Specialist (CPCS) is preferred.

Job Description:

For those who qualify for a level II role:

A candidate can be considered for a Credentialing Specialist II if they meet the following requirements:

The Credentialing Specialist II will work remotely and is responsible for managing multiple credentialing projects simultaneously, including initial applications and reappointments. This role requires utilizing their expertise and knowledge from their experience and certification along with strong organizational skills and attention to detail, as it involves maintaining and updating credentialing data using specialized software, Microsoft Office (Word and Excel), and Google Workspace tools. The specialist will collaborate closely with Medical Staff Office team members to ensure all deadlines are met efficiently. Key responsibilities include processing initial credentialing applications, managing recredentialing/reappointment processes, coordinating and tracking expirable documents, mentoring and training team members. This role plays a vital part in maintaining compliance and ensuring timely and accurate credentialing for all providers while supporting the education, training, and quality improvement processes in the department.

Education Qualifications:

• High School Diploma or GED is required.
• Associate's or Bachelor's Degree Health Care Administration or related field is preferred.

Experience Qualifications:

• 2 years clerical experience is required.
• 3 years of experience in healthcare is required.
• 4 years of Hospital Credentialing/Medical Services field or Payor Credentialing experience is required.

Certifications, Licenses and Registrations:

• Certified Provider Credentialing Specialist (CPCS) is required.

Pay Range: Credentialing Specialist II-CVO

$23.15- $34.73

Scheduled Weekly Hours: 40

Throughout communities in Illinois and Wisconsin, 13 hospitals, numerous community-based health centers and clinics, our 13,000+ colleagues have built a culture based on our solid core values of respect, care, competence, and joy. These are the ideals we believe in, work by, and live each day.

Built upon more than 145 years of service to the communities we serve, we now look to the future and our place in it as a health care system that strives to continually improve processes, procedures, and outcomes with the latest and most advanced technologies and treatments.

Regardless of how far our passion for excellence carries us, our focus will always remain on the most important person in our entire organization: The patient.

Benefits: HSHS provides a benefits package designed to support the overall well-being of our colleagues including their physical, emotional, financial, spiritual, and work health. Colleagues budgeted to work at least 32 hours per pay period are eligible for HSHS benefits.

• Comprehensive and affordable health coverage includes medical, prescription, dental and vision coverage for full-time and part-time colleagues.
• Paid Time Off (PTO) combines vacation, sick, and personal days into one balance to allow you the flexibility to use your time off as you need.
• Retirement benefits including HSHS contributions.
• Education Assistance benefits include up to $5,250 of educational assistance each calendar year and tuition discounts to select colleges with no waiting period.
• Adoption Assistance provides financial support up to $7,500 for colleagues growing their families through adoption to reimburse application and legal fees, transportation, and more!
• Other benefits include: Wellness program with incentives, employer-paid life insurance and short-term and long-term disability coverage, flexible spending accounts, employee assistance program, ID theft coverage, colleague rewards and recognition program, discount program, and more!

HSHS and affiliates is an Equal Opportunity Employer (EOE).

HSHS is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce.

Notice Regarding Potential Use of Artificial Intelligence in the Hiring Process

Hospital Sisters may use automated tools, including artificial intelligence or machine-learning technologies, to assist with certain administrative aspects of the recruitment process. These tools may help our recruiting team organize applications, search for resumes, identify qualifications reflected in application materials, and facilitate communications or scheduling with applicants.

Information used by these tools may include materials you provide during the application process, such as your resume, work history, education, qualifications, and responses to application questions.

These tools are used only to support our recruiting process. Hiring decisions are made by HSHS personnel, and automated tools do not make employment decisions on behalf of HSHS.

Applicants who have questions about this notice or who require a reasonable accommodation or alternative evaluation method may contact HSHS Human Resources at View email address on click.appcast.io