Credentialing Specialist

Credentialing Specialist

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. This is not a remote job and all work is performed on site. Credentialing: Responsible for all aspects of provider credentialing and re-credentialing. 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. Back-up Coverage: provide credentialing back-up for other members of the credentialing group. Compensation: $30.00 per hour Minority and Women Owned Business Enterprise (MWBE) certified by the State of New Jersey and Minority Business Enterprise (MBE) certified from National Minority Supplier Development Council.

Our Vision & Mission

We believe in the free enterprise system. We shall consistently treat our customers, employees, suppliers and the community with honesty, dignity, fairness and respect. We will conduct our business with the highest ethical standards. Our Mission is "Continually exceed our customers & increasing expectations."

What We Value?

We value Integrity, Customer Satisfaction, Honesty and fairness. They are essential to the way we do business and how we interact with people. We do what we say we will do, and we conduct ourselves in accordance with our code of ethics.

Our Employee Is Our Key

The diversity and involvement of our people is the foundation of our strength. We are committed to their fair and effective selection, development, motivation and recognition. We provide employees with the tools, training and support to achieve excellence in customer satisfaction.