Non-Clinical - Human Resources - Onboarding Specialist

Credentialing Specialist

Location: Baltimore, MD

Local Schedule: Onsite, Mon-Fri 8am-4:30pm

Contract: 26 weeks

Required Qualifications:

• Education: High School Diploma/GED
• Experience: 1-3+ years of relevant experience

Key Responsibilities:

• Manages the documentation of the initial and/or reappointment application process at all LBH facilities
• Performs admin duties and verifications within established policy and procedures and State and Joint Commission requirements
• Initiates sending reappointment packet to provider and processes appointments based on departmental assignments
• Completes required data entry into provider database
• Completes required verification of information for assigned credentials files
• Maintains accurate automated data files and ensures the complete and accurate maintenance of files in assigned areas
• Upon file completion, prepares credentials for Chiefs' signature
• Prepares files for review at hospital specific Credentials Committee meetings
• Tracks information through various committees
• Specialist will verify primary source for each application: Current/prior hospital affiliations; professional references;
• Specialist will query the following sources; professional license, National Provider Bank (NPDB), Office of the Inspector General (OIG), Health Claims Arbitration Office (HCSAO), Board certifications sites, Malpractice insurance carriers
• Maintains comprehensive credentialing database and prepares reports from physician file