About the Position:

Epic is looking for a(n) Credentialing Specialist who will be responsible for all aspects of initial credentialing, recredentialing, and if applicable privileging of clinicians and/or providers to ensure the Strategic Business Unit’s (SBU) clinicians are properly within credentialing scope.

What You'll Do:​

• Perform all aspects of initial credentialing, recredentialing, and/or privileging, for the providers and/or clinical teams throughout the US.
• Collect and verify sensitive provider and/or clinician data through confidential sources; manage, upload, and maintain compliance documents in required systems; regularly review reports to monitor completion of applications.
• Assess, evaluate, and interpret application and verification information to identify 'red flags' or areas of established non-compliance; communicate adverse, incomplete, or questionable data to appropriate parties and recommend appropriate course of action.
• Manage incoming and outgoing communications between multiple parties while meeting policy timelines and updating the credentialing database; provide status reports and communicate provider and/or clinician participation information to internal and external customers.
• Provide written and verbal communication with federal, state, and local agencies, hospitals, medical review boards, educator review boards, and malpractice carriers to obtain provider and practitioner information.

What You Bring:

• One year of experience in education or healthcare staffing credentialing.
• Certified Provider Credentialing Specialist (CPCS) can substitute for experience.
• Professional & Technical Expertise: Possess an overall knowledge of business functions and understanding of services, business strategy, policies and procedures, and job’s impact to the organization.
• Fact Finding: Obtain facts and data pertaining to an issue or question.
• Decision Making: Make quality decisions and meet timeliness of those decisions.
• Legal & Regulatory Navigation: Understand, interpret, and ensure compliance with laws and regulations.
• Integrity & Ethics: Maintain trust through honesty, adherence to principles, and personal accountability.
• Self-Management: Analyze work, set goals, develop plans of action, utilize time.
• Oral Communication: Engage effectively in dialogue
• Choose the several of the bullets from the "knowledge, skills, and abilities" section that relate to the duties you selected.

By applying to this requisition, you are expressing interest in all current Credentialing Specialist opportunities. Your application will be reviewed and considered for each opening that matches your experience and qualifications. Click here to review our business units in more detail.