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Certification Specialist
4 weeks ago
The actual job duties of a certification/credentialing specialist are many, and each is equally as important in ensuring physicians and other caregivers are able to practice responsibly. Heres a quick breakdown of their core duties:
- Credential Verification. Credentialing specialists review and authenticate credentials, qualifications, licenses, certifications, and other relevant documents submitted by individuals or organizations. This ensures that the provided information is accurate and meets the required standards.
- Compliance Assessment. They ensure individuals or organizations comply with all legal and regulatory requirements. This may involve checking if licenses are valid, certifications are up-to-date, and professionals meet the necessary educational or training standards.
- Background Screening. Credentialing specialists conduct background checks on individuals to identify any criminal records, disciplinary actions, or other negative factors that may affect their eligibility or reputation. This step helps to ensure public safety and protect the interests of the organization.
- Database Management. They maintain comprehensive databases or records of credentialed individuals or organizations. This includes updating information, tracking expiration dates of licenses or certifications, and ensuring accuracy and confidentiality of data all an ongoing part of compliance.
- Accreditation and Standards. In certain situations, credentialing specialists may play a role in assessing organizations against established accreditation standards or industry-specific regulations. They evaluate policies, procedures, and practices to determine if they meet the required quality and safety standards.
- Communication and Collaboration. They work closely with providers and organizations to provide guidance on compliance. This involves responding to inquiries, staying up-to-date on credentialing requirements, and facilitating communication to resolve compliance issues
- Knowledge of current and legally-binding contractual language and terminology
Qualifications
- Ability to identify, analyze, and suggest solutions for problems, customer complaints, and client concerns
- Excellent interpersonal and communication skills, including an impeccable mastery of the English language
- Clear adherence to company policies and procurement rules and regulations
- Good organization skills and the ability to multitask on several projects simultaneously
- Knowledge of negotiation best practices, both in-person and in written form, that considers cultural norms and the client's best interests
by Jobble
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Certification Specialist
4 weeks ago
St Louis, United States Addison Group Full timeThe actual job duties of a certification/credentialing specialist are many, and each is equally as important in ensuring physicians and other caregivers are able to practice responsibly. Here’s a quick breakdown of their core duties:Credential Verification. Credentialing specialists review and authenticate credentials, qualifications, licenses,...
-
Certification Specialist
4 weeks ago
St. Louis, United States Addison Group Full timeThe actual job duties of a certification/credentialing specialist are many, and each is equally as important in ensuring physicians and other caregivers are able to practice responsibly. Here’s a quick breakdown of their core duties:Credential Verification. Credentialing specialists review and authenticate credentials, qualifications, licenses,...
-
Certification Specialist
4 weeks ago
St Louis, United States Addison Group Full timeThe actual job duties of a certification/credentialing specialist are many, and each is equally as important in ensuring physicians and other caregivers are able to practice responsibly. Here’s a quick breakdown of their core duties:Credential Verification. Credentialing specialists review and authenticate credentials, qualifications, licenses,...
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