Facility Credentialing Specialist II
New
United StatesFull-TimeMiddle
Salary41,496 - 66,393.6 USD per year
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Job Details
- Experience
- 2-3 years
- Required Skills
- Microsoft Excel
Requirements
- High School graduate or equivalent (AS or B.S. degree in business administration or health care related field is a plus).
- 2-3 years of credentialing experience preferred.
- Knowledge of organization’s policies, procedures and systems.
- Skilled in computer applications including MS Word, MS Excel, database administration and scanning applications.
- Knowledge of NCQA and/or Joint Commission Accreditation standards.
- Skilled in verbal and written communications.
- Knowledgeable in Federal and State Regulation on Confidentiality and Peer Review Guidelines.
- Ability to work effectively with staff, physicians and external customers.
- Ability to work independently with limited supervision.
Responsibilities
- Processes initial and reappointment assignments for hospitals and surgical centers and for assigned divisions.
- Performs internal credentialling for all applicable USAP clinicians, as assigned.
- Maintains complete file of provider’s licensure and credentials.
- Monitors renewals of licensure and forwards copies of licensure to facilities as renewals are received.
- Maintains and updates credentialing database, inclusive of demographic and licensure information.
- Maintains and updates continuing medical education/ACLS credits and other training requirements.
- Maintains and updates curriculum vitae/profiles for each provider.
- Maintains correspondence files and credentialing archival files.
- Performs other credentialing duties as requested.
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