MSE - Medical Credentialing Specialist
4 days ago
Location: Rapid City, SD, 57701
General Information:
Minimum Experience Requirements:
- Required:
- 1+ years in healthcare
- 1+ years of credentialing experience
- Preferred:
- 2+ years in credentialing or Medical Staff operations
- Familiarity with regulatory guidelines and compliance standards
Job Description:
The Medical Credentialing Specialist is responsible for compiling, verifying, and maintaining records of physician and advanced practice provider credentials. This role ensures compliance with organizational policies and accreditation standards.
Technical Requirements:
- Preferred Experience:
- Credentialing software such as Echo or CACTUS
- Previous work in a Joint Commission-accredited facility
- None required
- CPCS certification is preferred
- Process initial and reappointment applications for medical staff and allied health practitioners.
- Maintain accurate credentialing files and updates in the system.
- Assist with audits for compliance with Joint Commission, NCQA, and CMS standards.
- Prepare reports for credentialing committees and leadership.
- Monitor expiring licenses, certifications, and other required documents.
- Support the onboarding process for new providers.
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