Credentialing Specialist

Job Title

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:

• 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.

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.

Required Education:

• High School Diploma or equivalent.