Spartanburg, South Carolina
Anaheim, CA
Santa Fe Springs, CA
Posted: 22-Feb-25
Location: Saint Louis, Missouri
Categories:
Internal Number: 86706
- Full time, remote work opportunity!
- Previous experience in provider credentialing is preferred.
- Monday-Friday - with some flexibility in the work schedule.
Overview
BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.
BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.
BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.
The Credentialing Verification Organization (CVO) is part of BJC HealthCare's Managed Care department. The CVO provides effective systems interface with all BJC Medical Staff Offices and establishes collaborative working relationships to ensure JCAHO, NCQA, and URAC compliance issues as they relate to physician credentialing. In addition, this team manages and provides oversight for cross credentialing efforts among BJC member organizations.
Preferred Qualifications
Role Purpose
Performs activities related to the entities and other affiliated instruction's credential verification process for initial and reappointment applications for medical staff and allied health professionals. Provides support to the Credentialing Lead and may oversee additional responsibilities in the absence of the Credentialing Lead, including mentoring and training the Credentialing Analyst I.
Responsibilities
- Verifies that credentials of medical staff, mid-level, and allied health professionals are in compliance with regulatory bodies, federal, and state agencies.
- Maintains accurate data in credential database and permanent credential files.
- Collaborates with medical staff and leadership to ensure credentialing and processing standards are being met.
- Provides credentialing reports and maintains data integrity within credentialing systems.
- Facilitates problem solving and operating system boards while participating in sub-committees created for ongoing process improvement
Minimum Requirements
Education
- High School Diploma or GED
Experience
- 2-5 years
Supervisor Experience
- No Experience
Preferred Requirements
Education
- Bachelor's Degree
Experience
- 5-10 years
Licenses & Certifications
- National Ass'n Med Staff Srvcs
Benefits and Legal Statement
BJC Total Rewards
At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
- Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
- Disability insurance* paid for by BJC
- Pension Plan*/403(b) Plan funded by BJC
- 401(k) plan with BJC match
- Tuition Assistance available on first day
- BJC Institute for Learning and Development
- Health Care and Dependent Care Flexible Spending Accounts
- Paid Time Off benefit combines vacation, sick days, holidays and personal time
- Adoption assistance
To learn more, go to www.bjctotalrewards.com/Benefits
*Not all benefits apply to all jobs
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
