The future is full of possibilities. At Banner Health, we're excited about what the future holds for health care. That's why we're changing the industry to make the experience the best it can be. If you're ready to change lives, we want to hear from you.
Are you an experienced Credentialing Network Assistant/Coordinator looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you! This is a rewarding position in an environment that will challenge you to become the go-to individual for Credentialing committee operations to ensure consistency of team efforts and that we are compliant with all regulations, and state and federal guidelines
Your pay and benefits are important components of your journey at Banner Health. Banner Health offers a variety of benefits to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life.
Banner Health Network (BHN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BHN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs.
POSITION SUMMARY This position provides administrative services and assistance requiring occasional discretion and judgment. Coordinates a unique set of processes and/or services for an assigned area such as credentialing.. Responsible for coordination of multiple provider networks to include delegation agreements, manages committee structures, leads credential committee meetings.
CORE FUNCTIONS 1. Lead role in preparing documentation, create agendas, meeting invitations and facilitating the necessary materials for credentialing committee review. Facilitates the credentialing committee meeting.
2. Reviews and/or audits documents, forms or stipends for appropriateness/accuracy.
3. Corresponds with customers, team members, committee members, BHN leadership and senior leadership, legal, and medical leadership using defined formats and procedures, via verbal, electronic and written communications.
4. Maintains confidential records and required documentation for assigned area. Ensures appropriate documentation is timely and accurately entered into departmental application(s).
5. As assigned, prepares, collates, and distributes various reports in a timely and accurate manner. May complete or handle recurring department projects or one-time projects, as directed by supervisor.
6. Conducts internal team audits and reports findings to supervisor on a monthly basis.
7. Oversees the credentialing appeals process.
8. Works independently under general supervision. Represents the company as a primary point of contact to outside entities such as delegated health plans, community providers and offices, etc.
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.
MINIMUM QUALIFICATIONS Must possess a strong knowledge of business and/or healthcare as normally obtained through the completion of an associate's degree and 3-5 years of credentialing and/or process management and operations experience in a related area.
Must have the ability to follow oral and written directions as they relate to the functions listed above. Must have excellent oral, written and interpersonal communication skills to effectively interact with departmental personnel, assist customers with inquiries, schedule meetings and appointments, as well as, provide assistance with incoming telephone calls and walk-ins. Requires the ability to work effectively with common office software, including spreadsheets and word processing. Must have the ability to organize, prioritize and multi-task workload in a fast paced environment and maintain a professional manner.
PREFERRED QUALIFICATIONS Additional related education and/or experience preferred.
Internal Number: R24834
About Banner Health
You want to change the health care industry – one life at a time. You belong here. You’re excited to be part of the dramatic changes happening in the health care field. In fact, you thrive on change. But you also understand that excellent, compassionate patient care is the true measure of the success of these changes. You belong at Banner Health. Our award-winning, comprehensive health system includes 23 hospitals in seven western states, primary care health centers, research centers, labs, a network of physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages: •Our vision for changing the future of health care gives you the opportunity to leverage your abilities to achieve something historic. •Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health. Our system also includes hospitals specializing in cancer, heart health and pediatrics. •Our many loc...ations also translate into a broad selection of exciting and rewarding lifestyle options – from the big city to the wide-open spaces. •Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible. •The size, success and growth of our system provide you with the stability and options to pursue your desired career path. •Our competitive compensation and comprehensive benefits offer you options to complement your unique needs.