Credentialing Coordinator

Overview

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.

Use 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.

• Experience as a Credentialing Specialist within healthcare (provider credentialing required)
• Responsible for provider credentialing and re-credentialing
• Ensures physician license renewals are completed before expiration
• Performs primary source verification for new and existing providers
• Maintains and updates assigned physician credentialing files
• Uses database alerts, reports, software tools, and scanned documentation
• Ensures credentialing information is current and accurate
• Maintains consistency with credentialing standards and database entries
• Provides backup credentialing support for team members

Experience as a Credentialing Specialist within healthcare (provider credentialing required)

Responsible for provider credentialing and re-credentialing

Maintains and updates assigned physician credentialing files

Uses database alerts, reports, software tools, and scanned documentation

Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts.