TALENT Software Services
Linkedin · Posted 1mo ago
Credentialing Specialist
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Indexed description
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.
- 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.
- 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.
- High School Diploma or equivalent.
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