Credentialing Specialist
3 weeks ago
Credentialing Specialist Job Description
Innova Solutions is seeking a skilled Credentialing Specialist to join our team. As a Credentialing Specialist, you will be responsible for coordinating the credentialing activities of the Medical Staff and Allied Health Staff, in accordance with the Medical Staff Bylaws, Credentialing Policies and Procedures as well as the federal and state law, regulatory and accrediting agencies.
Key Responsibilities:
- Coordinate the credentialing activities of the Medical Staff and Allied Health Staff.
- Provide administrative support to Credentials, General Staff and other Medical Staff committees and departments.
- Process requests for temporary privileges and monitor all follow-up, in accordance with policies and procedures.
- Process requests for additional privileges and monitor all follow-up, in accordance with policies and procedures.
- Process requests for one-time privileges, visiting physicians and/or student observers.
- Coordinate verification of professional liability coverage, medical licensure, board certification, BLS, ACLS, ATLS, and/or NRP certifications and DEA certification, as required.
- Obtain updated PPD and annual AHP evaluations.
- Assist with the coordination of annual dues process.
- Credentialing/Database management.
- Assist customers in the absence of the Credentialing Assistant and/or Administrative Assistant.
- Assist with Joint Commission accreditation preparation, as necessary.
- Assist with coordination of yearly on-call schedule preparation and coordination of Department Director election (every two years).
- Coordinate preparation and distribution of new committee roster (every two years) and yearly master calendar.
- Assist with verifications of medical staff membership and clinical privileges of providers from other healthcare facilities.
- Assist in coordination of medical staff events and functions and other duties assigned.
Requirements:
- Payer, Enrollment
About Innova Solutions:
Innova Solutions is a global leader in technology and business transformation solutions. We deliver strategic solutions to our clients, enabling them to operate as leaders within their fields. Our company values diversity, equity, and inclusion, and we are committed to providing a work environment free of discrimination and harassment.
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