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Credentialing Specialist

Talent Software Services

Duties:

Essential Functions:
  • Enforce regulatory compliance and quality assurance.
  • Prepare and maintain reports of credentialing activities such as accreditation, membership, or facility privileges.
  • Ensure that all information meets legal, federal, and state guidelines when processing applications.
  • Responsible for carrying out various credentialing processes in relation to physicians and allied health practitioners.
  • Process applications for initial applicants as well as reappointments (approximately 125-200 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 as well as Board of Trustees meeting.
  • Set up and maintain provider information in Echo.
  • Maintain confidentiality of provider information.
  • Ensure compliance with the Bylaws at each location as it pertains to the credentialing process.
  • Schedule, and on occasion attend and take minutes for 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.
  • Maintain confidentiality of provider information.
  • All other duties as assigned.
Skills:

Required Skills & Experience:
  • 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 & Experience:
  • N/A
Education:

Required Education:
  • High School Diploma or equivalent.
Preferred Education:
  • N/A
Required Certifications & Licensure:
  • N/A
Preferred Certifications & Licensure:
  • N/A
Qualifications:
  • 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.
Vacancy posted 3 days ago
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