Credentialing Specialist

4 weeks ago


Detroit, Michigan, United States PSG Global Solutions Careers Full time

We're seeking a skilled Credentialing Specialist to join our team at PSG Global Solutions Careers, working in the Healthcare Systems and Services industry in the United States.

As a Credentialing Specialist, you'll be responsible for managing the credentialing and re-credentialing process, ensuring compliance with industry standards and regulations.

Your key responsibilities will include:

  • Verifying required primary source credentialing documentation for medical staff and allied health professionals.
  • Coordinating the processing of applications and ensuring all applications are processed completely and promptly.
  • Maintaining credentialing software databases by ensuring that data entered is complete and accurate.
  • Assisting in compliance with accrediting and regulatory agencies, such as The Joint Commission, NCQA, URAC, and HFAP.
  • Improving professional growth and knowledge of the job to maintain efficiency and effectiveness of the CCS.

Requirements for this role include:

  • 2+ years of prime source credentialing experience.
  • 1+ years of hospital credentialing experience.
  • Proficiency in using MDStaff Credentialing Software.
  • End-to-end provider credentialing experience for MDs and DOs.
  • Working knowledge of State and Federal law relating to due process and provisions of the Health Insurance Portability and Accountability Act of 1996.

This is a remote opportunity, and the ideal candidate will have excellent organization skills and be able to hit the ground running with minimal training.



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