Credentials Associate - REMOTE

City/State

Work Shift

Overview:

Sentara Health is currently seeking a Credentials Associate for our Sentara Hospitals. This is a Remote position.

Hours/Shift: Full-Time, Day Shift (Remote Day Shift hours are typically between the hours of 8 a.m. to 5 p.m.)

Conducts data gathering, verification and analysis of practitioner applications and credentials for medical staff and affiliate appointment and privileges through both the Initial and Reappointment Application process. Responsible for maintaining all credentials files either in paper or electronic format, and maintains data in system-wide database.

Associates degree preferred. A minimum of 3 years of Medical Staff Office or Credentialing Office experience required in a hospital, health plan or CVO environment. CPCS - Certified Provider Credentialing Specialist preferred. Proficiencies in Echo database management preferred.

Under the supervision of a Credentialing Supervisor/Manager, the Credentialing Specialist II is responsible for specific aspects of Credentialing and Re-credentialing processing for a managed care organization, adhering to the National Committee for Quality Assurance, State and Federal regulations. They review, investigate, and process primary source verifications for facility, ancillary, medical and behavioral providers in a timely, efficient manner.

CPCS - Certified Provider Credentialing Specialist (Preferred)

Requires thorough knowledge of managed care provider credentialing/re-credentialing principles, methods, regulations, and procedures normally acquired through a minimum of 2 years of directly related experience. Acceptable areas demonstrating experience would be direct work experience with organizations such as a CVO, MCO, HMO or Hospital Based Credentialing (MSO).

Education

• High School Grad or Equivalent (Required)
• Associate's Level Degree (Preferred)

Certification/Licensure

• Certified Provider Credentialing Specialist (CPCS) - Certification (Preferred)

Experience

• 2 years Related Experience (Required)
• A minimum of 3 years of Medical Staff Office or Credentialing Office experience required in a hospital, health plan or CVO environment. CPCS - Certified Provider Credentialing Specialist preferred.
• Proficiencies in Echo database management preferred.

Keywords: Credentialing, Credentials, Certified Provider Credentialing Specialist, Data Entry, Medical Staff, Echo Database, Customer Service, Talroo-Allied Health

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Sentara Norfolk General Hospital, located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School.

In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the-art neonatal intensive care unit.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission "to improve health every day," this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.