Credentialing Specialist

2 weeks ago


Morristown, United States APN Software Services, Inc. Full time

Title: Credentialing Specialist

Duration: 3 Months

Location: Morristown, NJ 07960

Hours: M-F, 37.50 hours/week; 7.50 hours/day, 5 days/week



ESSENTIAL FUNCTIONS:



Enforce regulatory compliance and quality assurance
Prepare and maintain reports of credentialing activities such as accreditation, membership or facility privileges
Ensure that all information meets legal, federal and state guidelines when processing applications
Responsible for carrying out various credentialing processes in relation to physicians and allied health practitioners Process applications for initials applicants as well as reappointments (approximately 125-200 quarterly)
Collect and process significant amounts of verification and accreditation information
Maintain and update accurate information in the Echo database (includes education, training, experience, licensure) Prepare material for Credentials Committee meeting, MEC as well as Board of Trustees meeting Sets up and maintains provider information in Echo Maintains confidentiality of provider information
Ensure compliance with the Bylaws at each location as it pertains to the credentialing process
Schedule, and on occasion attend and take minutes for site based medical staff department meetings
Process and collect dues for the site based medical staff Compiles and maintains current and accurate data for all providers Sets up and maintains provider information in online credentialing database
Tracks license and certification expirations for all providers
Maintains confidentiality of provider information
All other duties as assigned



QUALIFICATIONS:



Knowledge of the credentialing process required
Ability to organize and prioritize work and manage multiple priorities
Excellent verbal and written communication skills
Ability to research and analyze data
Ability to work independently
Ability to establish and maintain effective working relationships
Excellent computer skills



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