Credentialing Navigator

About the role

Managing provider credentialing & re-credentialing, ensuring efficient operations and maintaining current staff data.
Verifies professional licensing, training, and certifications.
Prepares and maintains reports of credentialing activities.
Coordinates medical staff appointments, processes applications/licensing, and manages the provider credentialing process, facilitating communication across departments and administration.
Ensures compliance with accreditation and legal requirements for medical staff.
Contacts medical offices, licensing agencies, and insurance carriers to complete credentialing and re-credentialing.
Tracks and reports credentialing performance measures.

Responsibilities

• Manage provider credentialing & re-credentialing
• Ensure efficient operations and maintain current staff data
• Verify professional licensing, training, and certifications
• Prepare and maintain reports of credentialing activities
• Coordinate medical staff appointments, process applications/licensing, and manage the provider credentialing process
• Ensure compliance with accreditation and legal requirements for medical staff
• Contact medical offices, licensing agencies, and insurance carriers to complete credentialing and re-credentialing
• Track and report credentialing performance measures

Requirements

• High School diploma equivalency OR 1 year of applicable cumulative job specific experience
• Required professional licensure/certification can be used in lieu of education or experience, if applicable

Qualifications

• Experienced in credentialing software (preferably MD Staff)
• Ability to use Excel proficiently
• Strong skill-sets to focus on details of data and enter accurately
• Majority of day is utilizing software and inputting data
• Able to focus on customer service when talking to credentialed practitioners on phone
• 3+ years of experience

Skills

• Experience with credentialing software
• Proficiency in Excel
• Detail-oriented and accurate data entry skills
• Customer service skills

Benefits

Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
Time to recharge: pro-rated paid time off (PTO) and holidays
Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
Family support: parental leave, adoption assistance and family benefits
Other benefits: optional legal and pet insurance, transportation savings and more

Pay

$24.87 - $33.64 per hour

Schedule

Full Time | Days | Monday-Friday

Life at Ascension

Where purpose meets opportunity
Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer

Equal Employment Opportunity

Equal employment opportunity employer

Fraud Prevention Notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify Statement

Employer participates in the Electronic Employment Verification Program. Please click here for more information.