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CoxHealth

Hospital network with clinics and ERs

CVO Credentialing Specialist

Clerical & Data EntryPosted on Nov 13
Full-timeSpringfield, MO, USANo salary listedIn-person

About the Job

Requirements

  • A high school diploma or equivalent is required.
  • At least two years of healthcare or related experience is required.
  • Proficient computer skills, including Microsoft Office products, spreadsheet management, database management, and other technology used to manage credentialing and medical staff information.
  • Ability to learn and adapt to new software applications and technology.
  • Ability to communicate effectively and professionally, orally and in writing, with providers, leadership, colleagues, and small groups.
  • Strong critical-thinking, analytical, and problem-solving skills.
  • Ability to handle sensitive information with discretion and confidentiality.
  • Strong organizational skills and attention to detail.
  • Ability to prioritize competing responsibilities and manage multiple tasks simultaneously.
  • Ability to manage large volumes of information, documentation, and time-sensitive records.
  • Time-management skills focused on meeting established deadlines.
  • Customer service and interpersonal skills.
  • Proficient English grammar and spelling, including the ability to compose, proofread, and edit professional correspondence and documents.
  • Ability to work cooperatively and effectively as a team member.
  • Ability to work independently within established policies, procedures, and guidelines.
  • Ability to identify discrepancies, incomplete information, and potential compliance concerns and initiate appropriate follow-up.
  • Ability to identify and escalate matters requiring additional review or leadership involvement.

Responsibilities

  • Support credentialing and privileging processes for medical staff and other credentialed practitioners in accordance with organizational policies, Medical Staff Bylaws, Rules and Regulations, and applicable accreditation and regulatory requirements.
  • Ensure credentialing information and documentation are accurate, complete, current, and processed within established timeframes.
  • Communicate professionally with providers and stakeholders, maintain confidentiality, identify and escalate issues requiring additional review, and provide customer service in support of Medical Staff Services and organizational objectives.
  • Perform or coordinate primary source verification of practitioner credentials in accordance with applicable organizational, accreditation, and regulatory requirements.
  • Identify incomplete information, discrepancies, adverse information, or other items requiring additional review, and obtain appropriate documentation and follow-up.
  • Communicate application requirements, outstanding items, deadlines, and status information professionally and effectively with providers and other appropriate stakeholders.
  • Identify matters requiring additional review or escalation and communicate concerns to CVO leadership.
  • Perform other duties as assigned in support of the CVO department and organizational objectives.

Desired Qualifications

  • An associate’s degree in healthcare, business, or a related field is preferred; two years of experience in a directly related field may be considered in lieu of the preferred degree.
  • Experience working and communicating directly with medical staff in a hospital or healthcare setting.
  • Experience with medical staff credentialing and privileging within the past five years.
  • Experience utilizing credentialing or medical staff management software.
  • Certification with the National Association of Medical Staff Services (NAMSS).

About the Company

CoxHealth

Hospital network with clinics and ERs

CoxHealth operates as a regional health system with six hospitals, more than 80 clinics, five emergency rooms, and about 13,000 employees across southwest Missouri. It delivers a wide range of medical treatments and services through its network, coordinating primary, specialty, urgent, and hospital-based care to meet patient needs. The system’s care works by connecting hospitals, clinics, and ERs under one network to provide consistent, accessible health services and care pathways for patients. CoxHealth differentiates itself by being the area leader in health care and community involvement, leveraging a large regional footprint and a strong commitment to community health as part of its mission. Its goal is to improve the health of the communities it serves and to be the best for those who need care.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Springfield, MO
Founded
1906

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