Job Details

Overview

At Dignity Health, living our values means bringing passion into action every day. Dignity Health-Yavapai Regional Medical Center (DH-YRMC), now part of CommonSpirit Health, is a not-for-profit integrated healthcare provider that offers a broad range of inpatient and outpatient services including network-wide opportunities to advance your career.

Our exceptional benefits package includes:

• Competitive compensation
• Flexible scheduling
• Career growth opportunities
• Tuition reimbursement
• * Education Benefit
• Relocation assistance for eligible positions

What started as a simple community hospital, is today a state-of-the-art healthcare system with two acute care hospitals, a network of primary and specialty care clinics, outpatient health and wellness centers, cardiac diagnostic centers, and outpatient medical imaging centers.

As you build your career at DH-YRMC, you'll find Prescott is an inspiring place to live, work, and enjoy the outdoors.

• It is an inviting community with bygone charm and modern amenities.
• Local residents enjoy four spectacular seasons, while the area offers nearly year-round sunshine for any outdoor adventures.
• The carefree, relaxed lifestyle offers short commute opportunities, so you can focus on your career and your family.

Dignity Health-Yavapai Regional Medical Center extends this feeling with a strong sense of family, security, and belonging. Our compassion and commitment to quality care have earned awards, such as the Stroke Care Excellence Award (2022), Neuroscience Excellence Award (2021, 2020), and America's 100 Best Hospitals for Stroke Care Awards (2020, 2021) and have placed us at the top of the charts in community and nationwide in healthcare. Come experience the incredible quality-of-life that Dignity Health-YRMC and Prescott have to offer! #hellohumankindness

* Dignity Health now offers an Education Benefit program for benefit-eligible employees after 180 days. This program provides debt relief and student loan assistance to help you achieve your goals. Full-time employees can receive up to $18,000 over five years, while part-time employees can receive up to $9,000. Join our team at Dignity Health to take advantage of this amazing opportunity!

Responsibilities

This position offers relocation assistance!

The Credentials Coordinator is responsible for coordinating the credentialing re-credentialing and payer enrollment process for providers in accordance with the Health Plans Delegated Credentialing Agreements Physician Billing Services policies and procedures industry best-practices and regulatory requirements. Responsible for the daily credentialing operations including resolution of non-responsive providers and working with various clinic managers and the hospital medical staff office to ensure successful and timely completion of the delegated credentialing and re-credentialing process.

Qualifications

Minimum

• Three years experience in a Health Care Plan Credentialing/Provider Relations and/or auditing setting, or Health Care Enrollment.
• High School Diploma/GED
• Proficient with CACTUS Software, or similar credentialing system
• Intermediate Microsoft programs skills (MS Word, Excel, Power Point)
• Works well under stress and with shifting priorities
• Builds successful customer relationships excellent oral and written communication skills are essential
• Knowledge of NCQA standards and Joint Commission standards
• Knowledge of commonly-used concepts, practices, and procedures used in health care and physician credentialing

Preferred

• Five years experience in a Health Care Plan Credentialing/Provider Relations and/or auditing setting, or Health Care Enrollment.
• Bachelor's degree
• Certified Provider Credentialing Specialist