Credentialing Specialist

Responsibilities

• 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 Responsible for carrying 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 meeting, MEC as well as Board of Trustees meeting Sets up and maintains provider information in Echo Maintains 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
• Compiles and maintains current and accurate data for all providers
• Sets up and maintains provider information in online credentialing database
• Tracks license and certification expirations for all providers
• Maintains confidentiality of provider information
• 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