Credentialist Specialist

Job Description

Job DescriptionGrowing medical facility is hiring for Credentialing Specialist for a long-term contract role. This is a 40 hour week position on site with occasional local travel.

• Prepares, disseminates, collects, reviews and processes applications for appointment and reappointment, and accompanying documents, ensuring applicant eligibility.
• Conducts thorough background investigation, research and primary source verification of all components of the application file, including retrieval of National Practitioner Database Reports in accordance with the Health Care Quality Act.
• Prepares and completes credential files for review.
• Ensuring file completion within time periods specified.
• Reviews and processes request for change in privileges, ensuring compliance.
• Reviews and processes requests for change in staff status, ensuring compliance with the Medical Staff Bylaws and Credentials Policy
• Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing and privileging issue as the and assists with credentialing audits by internal and external surveyors
• Utilizes the credentialing database, optimizing efficiency, and performs data entry, query, report and document generation.
• Adheres to the credentialing and privileging process for assigned medical staff members, ensuring compliance with regulatory bodies.
• Collects appointment and reappointment application fees, annual medical staff dues and reappointment fines.
• Creates, updates, and disseminates to relevant individuals within the organization, detailed reports on credentialing activities
• Demonstrates regular, reliable and predictable attendance.

Associates Degree preferred

• Minimum three (3) years’ experience in credentialing or equivalent experience preferred
• Proficiency in the use of credentialing databases and MS Word, Excel and Outlook.
• Ability to: communicate effectively, both orally and in writing; work effectively in a team environment; plan, prioritize and work multiple actives and tasks effectively, to produce work in high quantity and quality; to analyze, interpret and draw inferences from research findings and to prepare reports; to use independent judgment to manage and impart confidential information.
• Must have knowledge of related accreditation and certification requirements, to have knowledge of medical credentialing and privileging procedures and standards, working knowledge of clinical and /or hospital operations and procedures, database entry and management skills including querying, reporting and document generation.

To Be Replaced #ZRCTPA,#INDCTCompany DescriptionAt HumanEdge Allied Health our mission is simple—connect great healthcare professionals with the best clients in the Healthcare industry. Our process complies with JCAHO standards to ensure the highest quality outcomes on each and every assignment or search we do. When working with our Allied health professionals, you will find the most knowledgeable folks in the business. Whether you’re a healthcare professional seeking a new assignment or full time employment or a healthcare institution needing assistance in staffing your organization, we are here to provide you with the world class service that you deserve.

Company Description

At HumanEdge Allied Health our mission is simple—connect great healthcare professionals with the best clients in the Healthcare industry. Our process complies with JCAHO standards to ensure the highest quality outcomes on each and every assignment or search we do. When working with our Allied health professionals, you will find the most knowledgeable folks in the business. Whether you’re a healthcare professional seeking a new assignment or full time employment or a healthcare institution needing assistance in staffing your organization, we are here to provide you with the world class service that you deserve.