Thegoodkindgroup
We are seeking a detail-oriented and organized Credentialing Specialist to join our team. In this role, you will be responsible for ensuring that healthcare providers meet the necessary qualifications and standards required for their positions. You will play a critical role in maintaining compliance with regulatory requirements and supporting the overall efficiency of our medical office operations.
Responsibilities
• Conduct thorough background checks and verify credentials of healthcare professionals, including education, training, and work history.
• Maintain accurate and up-to-date records of all credentialing activities in accordance with established standards.
• Collaborate with medical staff to ensure compliance with managed care requirements and other regulatory standards.
• Communicate effectively with healthcare providers regarding the credentialing process and any necessary documentation.
• Assist in the development and implementation of policies related to credentialing procedures.
• Enter and maintain practitioner information in Credentialing database, as appropriate.
• Maintain confidential credentials files and electronic medical staff databases.
• Ability to check websites and verify credentials/licenses/insurances.
• Provide support during Managed Care, Joint Commission and DOH audits
• Stay informed about changes in regulations and standards that may affect credentialing processes.
Experience
• 3-5 years’ experience in Medical staff Services and/or Credentialing
• CPCS Certification preferred
• High School diploma or Equivalency required
• B.S. Preferred
• Knowledge of websites
• Excellent written and verbal communication skills
• Excellent technical skills
• Excellent interpersonal skills
Join us as a Credentialing Specialist where your expertise will contribute to the quality of care provided by our organization!