Credentialing Specialist

Job Title

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.

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

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.