Credentialing and Privileging Specialist

Employer Industry: Healthcare Services

• Salary up to $33.05 per hour
• Opportunity for career advancement and growth within the organization
• Supportive and collaborative work environment
• Chance to work within a reputable healthcare network dedicated to quality and patient care
• Involvement in critical credentialing processes that impact healthcare delivery

• Coordinate and implement credentialing and privileging activities for medical and allied health staff
• Review and verify appointment and reappointment applications for compliance with standards
• Document verification results and maintain accurate records in the credentialing software system
• Evaluate discrepancies in verification information and elevate as necessary
• Assist in organizing monthly Credentials Committee agendas to meet regulatory requirements

• High School Diploma or GED
• Minimum of 3 years of general office administration experience in a business, education, or healthcare environment
• Understanding of credentialing and privileging requirements
• Ability to maintain confidentiality and comply with HIPAA regulations
• Strong attention to detail and organizational skills

• Associate's Degree
• 3 years of experience in physician credentialing and privileging or a healthcare-related field
• 1 year of customer service experience
• Certification as a Provider Credentialing Specialist (CPCS) or Professional Medical Services Management (CPMSM)

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