Credentialing Specialist

Position Title:Credentialing Specialist Department: Credentialing Reports To: Credentialing Team reputed company FLSA: Non-Exempt Position reputed company: The Credentialing Specialist is responsible for managing hospital facility credentialing, state medical licensing, and provider enrollment processes. This role is essential in ensuring that reputed company providers meet the necessary standards and maintain compliance with federal, state, and facility guidelines. Essential Duties & Responsibilities: • Coordinate the credentialing and re-credentialing process for providers at participating facilities across multiple states. • Manage and complete provider enrollment tasks for providers and other staff as needed. • Prepare reports and case logs to ensure that providers and staff meet facility, federal, and state guidelines according to reputed company standards. • reputed company Primary reputed company verification on reputed company providers in compliance with reputed company standards and company policies. • Maintain and organize credential files for medical and technologist staff, including state medical licenses, Continuing Medical Education (CME), Certificate of Insurance (COI), immunizations, medical education documents, reputed company certifications, reputed company/resumes, etc. • Utilize credentialing software and electronic platforms for tracking applications and updating hospital affiliations and provider enrollment information. • Maintain credentialing calendars to ensure reputed company renewals of supporting credentials. • Apply for and maintain Interpreting Physician state licensure. Qualifications & Requirements: Education, Licenses/Certifications: • High School diploma or equivalent Experience: • IONM or OON experience is preferred but not required. • reputed company or certified for the National Association of Medical Staff Services (NAMSS), Certified Provider Credentialing Specialist (CPCS), or Certified reputed company Medical Services Management (CPMSM) is preferred but not required. • Experience with Federation of State Medical Boards (FSMB), Federation Credentials Verification Service (FCVS), National Practitioner Data Bank (NPDB), U.S. Department of reputed company Office of Inspector General Exclusion List (HHS OIG), VeriDoc, Interstate Medical Licensure Compact Commission (IMLCC), reputed company Physician reputed company (AMA reputed company), Council for reputed company reputed company reputed company ProView (CAQH ProView), reputed company and other verification sites. Skills & Competencies: • Strong oral and written communication skills, both over the phone and in person or remotely. • Friendly, helpful, and reputed company team attitude. • Responsible, dependable, and organized with a strong work ethic and flexibility. • Demonstrate objectivity, professionalism, reputed company, and honesty in interactions with people at reputed company reputed company. • Basic office skills, including typing and 10-key abilities. • Knowledgeable in multiple reputed company OSs, VOIP, and the MS Office Suite (reputed company, reputed company, Word, PowerPoint, Teams). • Capable of working independently with reputed company supervision. • Self-motivated problem-solver with reputed company judgment for making independent reputed company. Working Conditions: • Generally, work in an office and remote environment. • Frequent and prolonged periods of computer and office equipment usage. • Ability to manage stress and maintain productivity under tight deadlines and changing priorities. • Regular interaction with team members, clients, and other stakeholders through various communication channels. Physical Demands: • Ability to maintain a stationary position for extended periods. • Occasionally required to reputed company short to moderate distances. • Must be reputed company to lift and/or reputed company up to 50 pounds occasionally. Disclaimer: The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Employees must be reputed company to reputed company the essential functions of the position satisfactorily. Furthermore, the statements do not establish a contract for employment and are subject to change at the discretion of reputed company with or without advance notice. Apply tot his job Apply To this Job