Credentialing and Enrollment Assistant

    • Job Tracking ID: 512635-590476
    • Job Location: Memphis, TN
    • Job Level: Mid Career (2+ years)
    • Level of Education: 2 year degree
    • Job Type: Full-Time/Regular
    • Date Updated: September 08, 2017
    • Years of Experience: 2 - 5 Years
    • Starting Date: October 2, 2017
    • PCN: ADS0189
    • Position: Credentialing and Enrollment Assistant
    • Date: 9/8/2017
    • FLSA Status: Non Exempt
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Job Description:

The Credentialing and Enrollment Assistant is responsible for supporting the activities of the Credentialing and Enrollment Specialists and the overall University Clinical Health credentialing and enrollment program, through performance of timely, accurate and compliant administrative, data entry, data management and ongoing monitoring tasks related to credentialing, recredentialing, enrollment and hospital privileging.

Experience and Skills:

KEY RESULT AREAS (KRAs)

¨ Performs intake duties:

  • Accurately enters provider credentialing data in Cactus upon receipt of UCH credentialing or updates data in Cactus upon receipt of recredentialing application.
  • Performs on-line primary source verification of NPDB, TN and out-of-state professional licenses, DEA certification; AMA or AOA Profile, National Student Clearing House, board certification, or any other on-line verification that may need to be completed.
  • Enters tracking data in Cactus: UCH/Hospital/Payor Assignments

¨ Assists Credentialing and Enrollment Specialists in the enrollment process as requested.

¨ Manages sensitive credentialing information with a high degree of confidentiality and security.

¨ Runs monthly expirables list and performs associated primary source verification updates, as applicable (licenses, board certificates, DEA).

¨ Responds to affiliation verification requests.

¨ Update credentialing data in Cactus as needed in between initial and recredentialing.

¨ Other duties as assigned.

KNOWLEDGE, SKILLS & ABILITIES, EDUCATION and/or EXPERIENCE:

¨ Minimum of 2 years administrative experience in a healthcare environment. Experience in provider credentialing and/or enrollment preferred. Associate’s degree in health care administration, business, or legal discipline preferred.

¨ Ability to accurately and thoroughly complete data entry, verifications and other assigned administrative tasks within multiple competing deadlines.

¨ Ability to develop and maintain effective working relationships.

¨ Strong organizational, critical thinking and problem-solving skills.

¨ Intermediate to expert working knowledge of Word, Excel and Adobe imaging software.

¨ Cactus, or similar credentialing software knowledge strongly preferred.

¨ Strong customer service orientation

¨ Excellent interpersonal, written and verbal communication skills

¨ Detail-oriented with the ability to multi-task


Appointments will be based on merit as it relates to position requirements without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, or veteran status. Successful candidates must submit documentation verifying employment eligibility and identity and successfully pass a drug test to be employed by University Clinical Health. External candidates apply online at http://universityclinicalhealth.com/careers. University Clinical Health is committed to ensuring equal employment opportunity, including providing reasonable accommodations to individuals with a disability. Applicants with a physical or mental disability who require a reasonable accommodation for any part of the application or hiring process may contact the Human Resource Department at 901-866-8100 or fax 901-302-2008.