Credentialing Specialist

3 days ago


Lafayette, Colorado, United States Clinica Family Health Full time
Credentialing Specialist

Clinica Family Health is seeking a highly organized and detail-oriented Credentialing Specialist to join our team. As a Credentialing Specialist, you will be responsible for administering the credentialing and privileging process for all independent licensed providers and other licensed and certified practitioners.

Key Responsibilities:
  • Perform primary source verification of credentials for healthcare providers and clinical staff to ensure that all necessary licenses and credentials are valid and updated.
  • Contact new providers and practitioners to explain the credentialing and privileging process and procure required documentation.
  • Initiate the credentialing and privileging process within a time frame that will ensure the provider will have temporary privileges prior to seeing patients.
  • Facilitate initial hospital credentialing and privileging process for providers who will have hospital privileges.
  • Monitor and notify providers/practitioners and their managers of upcoming licensure, certification, training, and privileges expirations.
  • Communicate and follow up with all parties to move the credentialing, privileging, and re-credentialing processes forward.
Requirements:
  • High School graduate or GED. Post-secondary education preferred.
  • Three years of experience with credentialing and privileging in an FQHC preferred.
  • Certified Provider Credentialing Specialist (CPCS) certification preferred.
What We Offer:
  • Competitive salary and benefits package.
  • Opportunities for professional growth and development.
  • A dynamic and supportive work environment.

Clinica Family Health is an Equal Opportunity Employer. We prohibit unlawful discrimination against applicants or employees on the basis of age 40 and over, race, color, religion, national origin, sex, disability, sexual orientation, gender identity, or any other applicable status protected by federal, state, or local laws.



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