Credentialing Specialist - Part Time

Job description

POSITION PURPOSE: Under general supervision of the Director of Medical Staff Services, the Credentialing Specialist is responsible for credentialing, reappointment processing and maintenance of the files of all individuals who are permitted by the Medical Staff Bylaws and hospital to provide patient care services independently and who have clinical privileges, whether or not they are members of the Medical Staff; maintaining and modifying the physician and allied health professional databases; development and production of reports pertaining to the medical staff provision of support, as needed, to medical staff offices. Manages and coordinates physician and allied health professional activities in accordance with Bylaws, Rules & Regulations, CIHQ and other regulatory standards and serves as a primary resource as needed. Under general supervision of the Director of Revenue Cycle, the Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by hospitals, Medicare, Medicaid and other healthcare entities. The Specialist will work closely with the billing staff to identify...