HR Tech - Ortho Credentialing

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.

• 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.

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.

• Degree Preferred
• Experience with UNM Credentialing
• Familiar with UNM CVO processes

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.

Positions posted with a Staff Type of Regular or Term are eligible for the Veteran Preference Program. See the Veteran Preference Program webpage for additional details.

The University of New Mexico is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, veteran status, disability, or any other protected class.

The University of New Mexico requires all regular staff positions successfully pass a pre-employment background check. This may include, but is not limited to, a criminal history background check, New Mexico Department of Health fingerprint screening, New Mexico Children, Youth, and Families Department fingerprint screening, verification of education credentials, and/or verification of prior employment. For more information about background checks, visit https://policy.unm.edu/university-policies/3000/3280.html. Refer to https://policy.unm.edu/university-policies/3000/3200.html for a definition of Regular Staff.