HR Tech - Ortho Credentialing - req# 31454

Would you enjoy being a vital part of our Orthopaedic teammanaging the Dept. of Orthopaedics physicianand advanced practice providers licensure and credentialing? This departmental positionallows you to use your administrative, organization, and service skills to helpprovide our Orthopaedic medical staff with obtaining and maintaining theirmedical licenses allowing for a high-quality, enjoyable onboarding and practiceexperience. This position serves as a liaison between the Dept. of OrthopaedicsCredentialing and the UNM CVO Dept. Youwill actively monitor CVO requests directed to the incoming medical staff andhelp to ensure the requests are followed up with in a timely manner so as notto delay the credentialing process and avoiding a delayed start date.

This position within the Dept. of Orthopaedics providesspecialized operational and administrative support for the Department ofOrthopaedics to a centralized human resources specialty activity, such asemployment, compensation, labor relations, benefits, or training anddevelopment. Provides day-to-day advice, assistance, and follow-up to clientdepartments, employees, external agencies, and/or members of the general publicin the application of specified policies, procedures, and documentation.Coordinates the resolution and/or referral of specific policy-related andprocedural 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 initialand reappointment credentialing applications for completeness, accuracy, andcompliance with federal, state, local and University regulations,guidelines, policies, and standards.
• Conducts primary source verification,collects and validates documents to ensure accuracy of credentialing ofelements; assesses completeness of information and qualifications relativeto credentialing standards for the Ortho departmentalPhysician and Advanced practice providers following UNM Health Systemcriteria.
• Helps to identify, analyze and resolve extraordinaryinformation, discrepancies, time gaps and other idiosyncrasies that couldadversely impact ability to credential and enroll Ortho practitioners. Ifproblems are discovered by CVO credentialing Manager and entity MedicalStaff Affairs, will work to convey what is needed to Ortho credentialingapplicants in order to correct andresubmit to the CVO for sound decision making in accordance with Medical Staff Bylaws,credentialing policies and procedures, federal, state, local andgovernment/insurance agency.
• Monitors files submitted on behalf ofOrthopaedics physician and advanced practice providers to ensure completenessand accuracy; reviews all file requirements, and all other relevantpolicies.
• Prepares andprovides information for the Department of Orthopaedics to internal andexternal customers as appropriate.
• Enters, updates and maintains data fromprovider applications into credentialing database, focusing on accuracyand 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 verificationsefficient, high-volume processing of individual applications for theDepartment of Orthopaedics in accordance with applicable credentialingstandards, established procedural guidelines, andstrict timelines.
• Participates in the development and implementationof process improvements for the system-wide credentialing process; prepares reportsand scoring required by regulatory and accrediting agencies, policies andstandards.
• Communicates clearly with providers, their liaisons, entityMedical Staff Affairs, medical staff leadership and Administration, asneeded to provide timely responses upon request on day-to-daycredentialing and privileging issues as they arise.
• Maintains professionalgrowth and development through seminars, workshops, and professionalaffiliations to keep abreast of latest developments to enhanceunderstanding of various regulations and legislation of the health careindustry.
• 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 throughthe official UNMJobs site will be accepted. If you are viewing this jobadvertisement on a 3rd party site, pleasevisit 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.