Credentials Verification Spec, Full Time, Days

Benefits

• $10,000 Tuition Reimbursement per year ($5,700 part-time)
• $10,000 Student Loan Repayment ($5,000 part-time)
• $1,000 Professional Development per year ($500 part-time)
• $250 Wellbeing Fund per year($125 for part-time)
• Matching 401(k)
• Excellent medical, dental and vision coverage
• Life insurance
• Annual Employee Salary Increase and Incentive Bonus
• Paid time off and Holiday pay

Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.

We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.

Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.

• Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional and financial well-being.
• Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.

From discovery to delivery, come help us shape the future of medicine.

Remote work from Illinois, Wisconsin, Indiana, and Iowa

Description

The  Credentials Verification Specialist  IIreflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

The Credentials Specialist is responsible for a variety of tasks impacting onboarding of new providers, ongoing compliance with regulatory and accreditation bodies including JC, IDPH, CMS and NCQA, and database management/reporting. 

Responsibilities:

• Support various processes within the organization, ensuring accuracy, efficiency, and adherence to established standards.
• Utilize critical thinking skills to analyze and evaluate process workflows, identifying areas for improvement and implementing solutions.
• Manage the integrity of data by accurately recording and documenting information, ensuring data quality and consistency.
• Collaborate with team members to execute tasks according to standard work procedures, ensuring consistency and efficiency.
• Continuously seek opportunities for personal and professional growth, staying updated on industry trends and best practices.
• Work as a good team member, actively participating in team meetings, sharing ideas, and contributing to a positive work environment.
• Communicate effectively with team members and stakeholders, providing updates, addressing inquiries, and resolving issues promptly.
• Maintain confidentiality and handle sensitive information securely, adhering to data protection policies and regulations.
• Support the implementation of process improvements, assisting with testing, documentation, and training as required.
• Provide exceptional customer service, both internally and externally, ensuring a positive experience for all stakeholders.
  
  Additional Functions         
   
• Serve as critical resource for new providers including management of on-boarding milestones and milestone compliance.
• Manage provider-specific data elements to ensure downstream internal and external systems receive, act upon and display accurate information.
• Provide data management support as assigned.
• Special projects as requested

Qualifications

Required:

• Associate’s Degree plus 2 years of consecutive work experience in medical staff services or credentials verification; healthcare administration; payor/managed care enrollment or other experience with transferrable skills ORBachelor’s Degree plus demonstrated transferrable skills.
• Proven experience in a similar role, demonstrating strong critical thinking and problem-solving skills.
• Proficient computer skills, including experience with data entry, database management, and Microsoft Office Suite.
• Demonstrated abilities in data management, analysis, synthesis, and reporting.
• Excellent attention to detail and organizational skills, ensuring accuracy and completeness in all tasks performed.
• Ability to work effectively as part of a team, collaborating with colleagues to achieve common goals.
• Strong written and verbal communication skills, with the ability to convey information clearly and professionally.
• Demonstrated commitment to maintaining confidentiality and handling sensitive peer review-related information securely.
• Willingness to learn and grow, adapting to changing priorities and acquiring new skills as needed.
• Strong work ethic and a proactive approach to problem-solving.
• Familiarity with process improvement methodologies.

Preferred:

• Bachelors Degree and 3-5 years credentialing experience

Equal Opportunity

Interacts with:

 

• Employed and independent physicians and other professionals and their practice administration
• NM Medical Staff Office, Provider Operations, and NMPN teams
• Regulatory and licensing agencies and other official providers of credentials information
• Official providers and agencies of credentials information

 

Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.