Credentialing Specialist
Credentialing Specialist
Posted on :
29-09-2024
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Job Description
Duties:
- The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing including initial appointment reappointment credential audits as well as clinical privileging for Medical Staff Allied Health Professionals and all other providers as outlined in the corporate policy and procedures or hospital bylaws.
- Utilize MDStaff credentialing software application to perform and monitor all credentialing/background checks while maintaining accuracy and data integrity.
- Responsible for interpretation and compliance with the appropriate accrediting and regulatory agencies while developing and maintaining a working knowledge of the statues and laws relating to credentialing.
Schedule Notes:
- Healthcare Field Experience Required Credentialing: Responsible for all aspects of provider credentialing and recredentialing.
- License Renewals: Ensures that physician licenses are renewed prior to expiration.
- Primary Source Verification: Completes primary source verification for new and existing providers to ensure due diligence.
- Records Management: Maintains assigned physician files updating each item/action as processed.
- Utilizes database status/alert and other report functions software tools and links to scanned documentation.
- Ensures that information is current and accurate.
- Credentialing Standards: maintains consistency in database entry to ensure accurate and consistent processes.
- Backup Coverage: provide credentialing backup for other members of the credentialing group.
Minimum Degree Required: Bachelors Degree
Department: MPA HEALTHCARE IMPROVEMENT
Shift Timings: 09:00 AM EST 05:00 PM EST
Hours Per Day: 8.00
Hours Per Week: 40.00
Days Per Week: 5.00
ATD Technology LLC is a certified minority woman owned business that creates opportunities to match qualified individuals with client programs while meeting all parties financial and technical goals. ATD is a full service provider with offerings in Contract Permanent and TemptoPerm staffing solutions. We serve Fortune 1000 mid cap and small cap companies in the Commercial Public and Government sectors.
Employment Type
Full Time
Key Skills
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