Medical Credentials Specialist
5 days ago
Pride Health is seeking a skilled Credentialing Specialist to join our team. As a Credentialing Specialist, you will play a critical role in ensuring the accuracy and completeness of provider information, as well as maintaining regulatory compliance and quality assurance.
Key Responsibilities- Enforce regulatory compliance and quality assurance by reviewing and verifying provider credentials
- Prepare and maintain reports of credentialing activities, including accreditation, membership, and facility privileges
- Ensure that all information meets legal, federal, and state guidelines when processing applications
- Process applications for initial applicants as well as reappointments (approximately quarterly)
- Collect and process significant amounts of verification and accreditation information
- Maintain and update accurate information in the Echo database (includes education, training, experience, licensure)
- Prepare material for Credentials Committee meeting, MEC, and Board of Trustees meeting
- Schedule and attend site-based medical staff department meetings
- Process and collect dues for the site-based medical staff
- Compile and maintain current and accurate data for all providers
- Set up and maintain provider information in online credentialing database
- Track license and certification expirations for all providers
- Knowledge of the credentialing process required
- Ability to organize and prioritize work and manage multiple priorities
- Excellent verbal and written communication skills
- Ability to research and analyze data
- Ability to work independently
- Ability to establish and maintain effective working relationships
- Excellent computer skills
Pride Health is an equal opportunity employer and welcomes applications from diverse candidates.
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