HR Tech - Ortho Credentialing (req31454)
Requisition ID: req31454
Working Title: HR Tech - Ortho Credentialing
Position Grade: 10
Position Summary
Would you enjoy being a vital part of our Orthopaedic team managing the Dept. of Orthopaedics physician
and advanced practice providers licensure and credentialing? This departmental position allows you to use your administrative, organization, and service skills to help provide our Orthopaedic medical staff with obtaining and maintaining their medical licenses allowing for a high-quality, enjoyable onboarding and practice
experience. This position serves as a liaison between the Dept. of Orthopaedics Credentialing and the UNM CVO Dept. You will actively monitor CVO requests directed to the incoming medical staff and help to ensure the requests are followed up with in a timely manner so as not to delay the credentialing process and avoiding a delayed start date.
This position within the Dept. of Orthopaedics provides specialized operational and administrative support for the Department of Orthopaedics to a centralized human resources specialty activity, such as employment, compensation, labor relations, benefits, or training and development. Provides day-to-day advice, assistance, and follow-up to client departments, employees, external agencies, and/or members of the general public
in the application of specified policies, procedures, and documentation. Coordinates the resolution and/or referral of specific policy-related and procedural problems and inquiries. Develops, expedites, and maintains files, records, and other documents.
Duties and Responsibilities:
- Reviews and screens Department of Orthopaedics physician and advanced practice providers licensure and credentialing initial and reappointment credentialing applications for completeness, accuracy, and
compliance with federal, state, local and University regulations, guidelines, policies, and standards. - Conducts primary source verification, collects and validates documents to ensure accuracy of credentialing of elements; assesses completeness of information and qualifications relative to credentialing standards for the Ortho departmental Physician and Advanced practice providers following UNM Health System
criteria. - Helps to identify, analyze and resolve extraordinary information, discrepancies, time gaps and other idiosyncrasies that could adversely impact ability to credential and enroll Ortho practitioners. If problems are discovered by CVO credentialing Manager and entity Medical Staff Affairs, will work to convey what is needed to Ortho credentialing applicants in order to correct and resubmit to the CVO for sound decision making in accordance with Medical Staff Bylaws, credentialing policies and procedures, federal, state, local and government/insurance agency.
- Monitors files submitted on behalf of Orthopaedics physician and advanced practice providers to ensure completeness and accuracy; reviews all file requirements, and all other relevant policies.
- Prepares and provides information for the Department of Orthopaedics to internal and external customers as appropriate.
- Enters, updates and maintains data from provider applications into credentialing database, focusing on accuracy and interpreting or adapting data to conform to defined data field uses, and in accordance with internal policies and procedures.
- Prepares, issues, electronically tracks and follows-up on appropriate verifications efficient, high-volume processing of individual applications for the Department of Orthopaedics in accordance with applicable credentialing standards, established procedural guidelines, and strict timelines.
- Participates in the development and implementation of process improvements for the system-wide credentialing process; prepares reports and scoring required by regulatory and accrediting agencies, policies and standards.
- Communicates clearly with providers, their liaisons, entity Medical Staff Affairs, medical staff leadership and Administration, as needed to provide timely responses upon request on day-to-day credentialing and privileging issues as they arise.
- Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest developments to enhance understanding of various regulations and legislation of the health care industry.
- Performs miscellaneous job-related duties as assigned.
See the Position Description for additional information.
Conditions of Employment
- Employees who provide services or work in patient care or clinical areas are required to be in compliance with the University's influenza vaccination requirement.
Minimum Qualifications
High school diploma or GED; at least 3 years of experience directly related to the duties and responsibilities specified.
Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.
Preferred Qualifications
- Degree Preferred
- Experience with UNM Credentialing
- Familiar with UNM CVO processes
Campus: Health Sciences Center (HSC) - Albuquerque, NM
Department: Orthopaedics Administration (497B)
Employment Type: Staff
Staff Type: Regular - Full-Time
Status: Non-Exempt
Pay: Hourly: $18.81 - $25.56
Benefits Eligible
This is a benefits eligible position. The University of New Mexico provides a comprehensive package of benefits including medical, dental, vision, and life insurance. In addition, UNM offers educational benefits through the tuition remission and dependent education programs. See the Benefits home page for a more information.
ERB Statement
As a condition of employment, eligible employees working greater than .25 FTE as determined by the New Mexico Education Retirement Act must make mandatory retirement contributions. For more information, review the Benefits Eligibility at a Glance grid.
Background Check Required: Yes
For Best Consideration Date: 11/12/2024
Eligible for Remote Work
Yes
Eligible for Remote Work Statement
Hybrid position
Application Instructions
Only applications submitted through the official UNMJobs site will be accepted. If you are viewing this job
advertisement on a 3rd party site, please visit UNMJobs to submit an application.
Resume, Cover Letter, and 3 professional references required.
Please describe how you fill minimum and any preferred qualifications in your cover letter.