Credentialing Specialist

8a - 4p (PUNCTUALITY A MUST). Must have previous hospital experience credentialing physicians. THIS IS NOT A PAYOR ROLE.

• 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
• Carry 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 meetings, MEC as well as Board of Trustees meetings
• 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
• Track license and certification expirations for all providers
• 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