Credentialing Specialist

Job Description

Job Description

Job Title: Credentialing Specialist
Location: Morristown, NJ 07960
Duration: 3months W2 contract with high possibility of extension based on performance and depending on business needs.
Pay Range: $30 to $35/Hour on W2
Shift Timing: 8AM - 4PM EST

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 initials 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 Sets up and maintains provider information in Echo Maintains 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
Compiles and maintains current and accurate data for all providers
Sets up and maintains provider information in online credentialing database Tracks license and certification expirations for all providers
Maintains confidentiality of provider information All other duties as assigned

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.
Experience verifying and maintaining: Professional licenses Certifications (BLS, ACLS, specialty certifications)
Education and training records
Work history and references
Malpractice insurance coverage
Sanctions and exclusion screenings
Background checks