Credentialing Specialist

4 days ago


Morristown NJ USA, United States Infojini Full time
Job Summary

We are seeking a highly organized and detail-oriented Credentialing Specialist to join our team at Infojini. 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 information
  • 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
Requirements
  • 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
Preferred Skills
  • EXCELLENT COMPUTER SKILLS
  • EXCELLENT VERBAL AND WRITTEN COMMUNICATION SKILLS
  • MEC
  • DATABASE
Additional Skills
  • REGULATORY COMPLIANCE


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