Credentialing Specialist - Remote Must Reside in North Carolina

Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Job Band D1: General Description of the Job Class Under the supervision of the Manager of DUHS CVO and the Lead Credentialing Specialist, the Credentialing Specialist is responsible for all aspects of the credentialing for all medical providers who provide patient care at Duke University Health System (DUHS), Responsible for ensuring providers are credentialed in accordance with The Joint Commission, NCQA, CMS, and AAAHC Standards for health plans, hospitals, ambulatory care centers, and patient care facilities. Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of appointments and all-time limited credentials. Duties and Responsibilities of this Level - Processes Initial applications for DUHS, ensuring compliance with regulatory requirements. - Obtains verification from primary sources for all regulatory requirements and monitors all applications assigned credentialing to provide update...