Credentialing Specialist

Why Mayo Clinic

Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.

Benefits Highlights

• Medical: Multiple plan options.
• Dental: Delta Dental or reimbursement account for flexible coverage.
• Vision: Affordable plan with national network.
• Pre-Tax Savings: HSA and FSAs for eligible expenses.
• Retirement: Competitive retirement package to secure your future.
  
  

Responsibilities

Ensures regulatory compliance with Mayo Clinic, accreditation, and regulatory agencies in the coordination of initial credentialing, appointment, and related hiring processes to meet the needs of patients and achieve financial commitments.

Coordinates the initial and reappointment processes to ensure compliance with Mayo Clinic, accreditation, and regulatory agencies. Provides direction and consultation on credentialing, privileging, payer/provider enrollment, and licensure related policies and regulations between providers and departments, state licensing boards, Medicare and Medicaid, commercial payers, physicians, administrators, and operation managers. Coordinates and ensures internal and regulatory compliance with clinical privileging and payer enrollment. Actively participates in accreditation, government, state Department of Health surveys, and payer audits. Maintains industry knowledge of accreditation and regulatory standards, and government regulations for payer enrollment. Actively participates in the delegated credentialing activities to ensure third-party reimbursement. Works to develop and enhance credentialing processes and compliance. Coordinates licensure and licensure compliance-related items for providers. Coordinates provider compliance of licensure, DEA, board certification renewals along with other regulatory requirements. Trains and mentors new credentialing personnel. Exhibits strong problem-solving, analytic skills and independent decision-making abilities. Consistently exhibits behavior and communication skills that demonstrate Mayo Clinic's commitment to superior customer service.

This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.

Qualifications

Associate degree and 3 years administrative assistant or related experience in a healthcare environment, or 5 years administrative assistant or related experience. Associate or Bachelor’s degree in a business-related field is preferred.

Superior customer service skill and communication skills, written and oral, with the ability to communicate to all levels of personnel. Excellent organizational and analytical skills. Self-motivated, able to prioritize multiple assignments, ability to track multiple projects/tasks and follow through as needed. Ability to work well independently in a fast changing environment and with others in a team environment. Detailed-oriented individual. Computer proficient and strong computer skills in Microsoft Office (e.g. Word, Excel, etc). Willingness to enhance knowledge and skills by obtaining appropriate training. Must be able to work collaboratively with internal and external customers.

Exemption Status

Nonexempt

Compensation Detail

$26.11 - $35.27 / hour

Benefits Eligible

Yes

Schedule

Full Time

Hours/Pay Period

80

Schedule Details

Flexible, Monday-Friday 7:30-4:30. This position is primarily remote but must live within driving distance from a Mayo Clinic campus.

Weekend Schedule

None

International Assignment

No

Site Description

Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.

Equal Opportunity

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law" . Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.

Recruiter

Maggie Kramer