Lead Credentialing Specialist - Full-Time - Atlantic Health

Job description

Lead Credentialing Specialist (Role will be based at Atlantic Health Overlook Medical Center in Summit NJ with travel expectations for other sites) Purpose: Participates in complex departmental activities to ensure quality in conducting, maintaining, and communicating the medical and allied health professional staff credentialing, privileging, and primary source verification process. Audits, measures performance, trains team, serves as a resource of the department, and collaborates with management to advance the quality of practitioners and patient safety of the facility. Assists with additional duties including coordination and review of department activities. Essential Functions: 30% 20% 15% 15% 15% 5% - Audits, analyzes, and monitors credentialing application/files processed by Credentialing Specialist staff to ensure appointments are processed in required timeframes, including all required primary source verifications and accompanying documentation, to ensure files meet regulatory requirements. - Documents and tracks performance statistics of the Credentialing Specialists application processing related to accuracy and communicates with the managers when issues are identified. -...