Credentialing Specialist
1 day ago
Central Office is seeking a skilled Credentialing Specialist to facilitate all aspects of provider credentialing, including initial appointment, reappointment, credential audits, and clinical privileging for Medical Staff, Allied Health Professionals, and other providers as per corporate policies and hospital bylaws.
Key Responsibilities:- Facilitate credentialing processes, ensuring accuracy and data integrity.
- Utilize MDStaff credentialing software to conduct and monitor credentialing/background checks.
- Interpret and comply with accrediting and regulatory agencies' guidelines.
- Develop a working knowledge of statutes and laws related to credentialing.
- Ensure all work is performed on-site.
- Responsible for all aspects of provider credentialing and re-credentialing.
- Ensure physician licenses are renewed prior to expiration.
- Complete primary source verification for new and existing providers.
- Maintain assigned physician files, updating each item/action as processed.
- Provide credentialing back-up for other members of the credentialing group.
Requirements:
- Healthcare field experience required.
- Certifications: Must-Have.
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