BJC Healthcare Credentialing Verification Analyst in Bridgeton, Missouri
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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 mid-Missouri regions.BJC serves patients and their families in urban, suburban and rural communities through its13 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.
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 effortsamong BJC member organizations.
Responsible for performing activities related to the credential verification process for initial, provisional and reappointment applications for medical staff and allied health professionals.
Verifies credentials of medical staff, hospitals and health providers are in compliance with federal and state regulations.
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.
- High School Diploma or GED
- <2 years
- No Experience
- 2-5 years
Note: not all benefits apply to all openings
- Comprehensive medical, dental, life insurance, and disability plan options- Pension Plan/403(b) Plan- 401(k) plan with company match- Tuition Assistance- Health Care and Dependent Care Reimbursement Accounts-On-Site Fitness Center (depending on location)-Paid Time Off Program for vacation, holiday and sick time
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