Credentialing Specialist

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care.

Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey.

Details

• Credentialing Specialist

• Medical Staff

• Full Time Status

• Day Shift

• Pay: $17.58 - $25.49 / hour

Summary

• This position works to assure compliant, timely credentialing and reappointment of all Medical Staff and Allied Health Professionals for Mosaic Life Care. Performs credentialing activities in accordance with the Medical Staff policies, bylaws and standards. Provides support to Medical Staff Services Director and Credentialing Coordinator.

• This position works with the Medical Staff Services Director and Medical Staff Coordinator and is employed by Mosaic Health System.

Duties

• Prepares, disseminates, collects, reviews and processes applications for appointment and reappointment, and accompanying documents, ensuring applicant eligibility. Adheres to the credentialing and privileging processes for assigned providers, ensuring compliance with regulatory bodies as well as the Medical Staff Bylaws, Standards and delegated contracts.

• Conducts thorough background investigation, research and primary source verification of all components of the application file, including retrieval of National Practitioner Database Reports in accordance with the Health Care Quality Act.

• Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow-up and closure.

• Prepares and completes credentials files for review by the appropriate section chair and presentation to the relevant Medical Staff Committees, ensuring file completion within time periods specified.

• Reviews and processes request for change in privileges and staff status, ensuring compliance with the Medical Staff Bylaws, Credentials standards, and criteria outlined in clinical privilege descriptions.

Qualifications

• High School diploma, College degree preferred

• NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM); or actively seeking certification or must be attained within three years of hire.

• Credentialing and/or healthcare experience is preferred.