Credentialing Specialist

Duties:

• 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 initials 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
• Verifying the qualifications and professional history of healthcare providers.
• Primary Responsibilities: Collect and verify education, training, licensure, board certification, work history, and malpractice coverage of physicians and other providers.
• Ensure compliance with regulatory and accreditation standards (e.g., Joint Commission, NCQA).
• Maintain up-to-date records in credentialing databases.
• Work closely with medical staff offices, state licensing boards, and credentialing committees.
• Assist in onboarding new providers within a hospital or healthcare system

Skills:

• 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
• Excellent computer skills

Schedule Notes:

• 8a - 4p

Hours Per Day:

• 7.50

Hours Per Week

• 37.50

Department:

• AHS MEDICAL STAFF OFFICE CORPORATE

ATD Technology, LLC is a certified minority woman owned business that creates opportunities to match qualified individuals with client programs while meeting all parties' financial and technical goals. ATD is a full service provider with offerings in Contract, Permanent and Temp-to-Perm staffing solutions. We serve Fortune 1000, mid cap and small cap companies in the Commercial, Public and Government sectors.