Medical Staff Credentialing Specialist processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Being a Medical Staff Credentialing Specialist sets up and maintains provider information in an online credentialing database system. Tracks license and certification expirations for all providers to ensure timely renewals. Additionally, Medical Staff Credentialing Specialist may require an associate degree or equivalent. May require certification as a Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor or manager. The Medical Staff Credentialing Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Staff Credentialing Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Under the supervision of the Director, Medical Staff Services, performs a variety of administrative, staff support and clerical functions, which require a range of skills knowledge of organizational policies and procedures. Assists with inquires, performs data entry, on-line verifications of medical licensures and other credentials, verify physician hospital affiliations, general queries and reports from MD Staff data base, mailings, filings, and other functions and projects as assigned.
Performs on-line verifications of AMA, medical licensures, malpractice insurance, NPDB, and other credential certificates using the Application Checklist. Performs accurate data entry of medical staff applications and/or reappointments for physicians and allied health practitioners. Monitors the expirables (medical licensures, DEA certificate, professional liability insurance and other credentials certificate.
Associates degree preferred. Two years of working experience in health care setting. Proficiency in Computer (Word, Excel, Powerpoint, and other credentials data base). Strong ability to read and write, excellent interpersonal and communication skills. Ability to apply common sense principles, along with knowledge base to analyze and solve problems that arise. Moderate to complex problem-solving skills and prioritization of needs.
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