Credentialing Specialist

HonorHealth
United States, Arizona, Phoenix
2500 West Utopia Road (Show on map)
Mar 11, 2025
Overview Looking to be part of something more meaningful? At HonorHealth, you'll be part of a team, creating a multi-dimensional care experience for our patients. You'll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more. Join us. Let's go beyond expectations and transform healthcare together. HonorHealth is one of Arizona's largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses nine acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With more than 16,000 team members, 4,000 affiliated providers and over 1,100 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary Under the general supervision, the Credentialing Specialist is responsible for providing credentialing and credentialing support to the Network Medical Staff through the processing of applications and reapplications to ensure that only qualified practitioners provide care within the network facilities. Provides credentialing support to the centralized appointment and reappointment process including reports and obtaining required data from Quality Assurance profiles and National Practitioner Data Bank reports, in accordance with the National Commission on Quality Assurance (NCQA), The Joint Commission, and the Arizona Department of Health Services (DHS) standards. Provides credentialing support to the credentialing manager. Maintains a sound working knowledge of credentialing and provides consultation to the medical staff regarding credentialing, to ensure all processes are in compliance with state statutes and regulatory agencies as demonstrated by observation. Responsible for timely processing of initial applications and reappointment applications for completeness and in accordance with Medical Staff standards. Secures appropriate peer competency references and prepares credentials files. Obtains primary source and other verifications in accordance with established guidelines. Communicates with applicants during credentialing process to ensure timely and expeditious completion of process. Researches incidents, malpractice claims, advisory letters/letters of concern etc and request appropriate follow-up information from practitioner or other sources as indicated. Maintains the credentialing database . Updates primary source data in the Midas database. Ensures data is accurately entered as evidenced by audit. Prepares reports in compliance with requests for information as demonstrated by documentation. Maintains adherence to professional confidentiality standards established within the Department and in accordance with legal, ethical and hospital and medical staff policies. Assures data security and confidentiality by use of appropriate labeling of information and storage, and appropriately securing cabinets and drawers. Qualifications Education High School Diploma or GED Required Experience 1 year credentialing, medical staff or administrative assistant including data entry, in a hospital or healthcare environment resulting in knowledge of medical terminology and professional physician interface Required