Credentialing Specialist - Centralized Verification

Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the Pacific Region with high quality, compassionate care. Its four medical centers - Kapi'olani, Pali Momi, Straub and Wilcox - specialize in innovative programs in women’s health, pediatric care, cardiovascular services, cancer care, bone and joint services and more. Hawai'i Pacific Health is recognized nationally for its excellence in patient care and the use of electronic health records to improve quality and patient safety.The Centralized Verification department oversees the process of verifying credentials of Hawai‘i Pacific Health medical professionals to ensure that we contract the most highly qualified staff for our hospitals and clinics. Responsibilities of the department include assuring compliance with all regulatory agency requirements that govern hospital credentialing, along with the enrollment process for our employed/contracted staff with insurance companies and hospitals.As the Credentials Verifications Specialist, you will help the Centralized Verifications Office uphold our characteristic clinical and administrative excellence. Your responsibilities include verifying functions of the credentialing process for Hawai‘i Pacific Health and its subsidiaries to include compliance with all regulatory agency requirements governing credentialing; verification of required information; compiling supporting documentation; distribution of applicant profiles to contracted entities; and maintenance of a system-wide database of affiliated members. We are looking for someone responsible and meticulous, with an appreciation for accurate data and systems information integrity, and a commitment to delivering the highest quality health care to Hawai‘i’s people.Work Schedule:

Day - 8 HoursWork Type:

Full Time RegularFTE: 1.000000Bargaining Unit:

Non-BargainingStarting Hourly Rate: 27.36Exempt:

NoMinimum Qualifications:

Associate’s degree in Business or health related field and/or equivalent combination of education, training and experience. Two (2) years of secretarial or administrative experience.Preferred Qualifications:

Bachelor’s degree in Business Administration or health related field. National Medical Staff Coordinator Certification. Provider Credentialing Specialist Certification. Health care experience. Credentialing or verifications experience.EOE/AA/Disabled/VetsHawai‘i Pacific Health offers a comprehensive and competitive total rewards package that includes pay and benefits. The pay rate, if displayed, is the minimum hourly rate for the position. Rate of pay for selected candidates will be determined by various factors including knowledge, skills, abilities, relevant experience and training, as well as internal peer equity.Category

AdministrativeEmployment Type

Employee

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