Credentialing Specialist (Temporary)

Description

• Adheres to policies and procedures including timely delivery of completed work and use of resources.
• Monitors work queue to ensure that applications are processed within a 30-day turnaround time or sooner, if applicable
• Performs credentialing process for all Medical Staff and Advanced Practice Providers at GSSC
• Maintains accurate and complete information in the credentialing database.
• Works with practitioners to ensure timely and thorough completion of applications, in compliance with the Medical Staff Bylaws and policies.
• Applies general guidelines in determining whether provider meets criteria and documents deficiencies.
• Communicates with providers any items that require clarification or additional compliance requirements needed that provider did not supply.
• Assembles all verified information and prepares files for presentation to appropriate leadership for recommendations.
• Maintains communications with provider offices to promote relationships imperative to process.
• Monitors monthly expirables: liability insurance, license, DEAs, Fluoro and other certificates and immunization records.
• Monitors ongoing proctoring.
• Monitors ongoing OPPE.
• Monitors ongoing Peer Review.
• Responds to affiliation requests from other facilities.
• Generates case logs upon request.
• Other duties and projects as assigned.

Requirements

• Demonstrates proficiency in credentialing software.
• Maintains strict confidence of provider information, ensuring privacy.
• Minimum 2 years of experience in credentialing or related field
• Must have a working knowledge of Microsoft Office, including Outlook, Word and Excel
• Maintains current knowledge or NCQA, State and Federal requirements.
• Performs data entry and maintains current database for tracking practitioner credentialing and re-credentialing information.
• Certification or training in related area strongly preferred.

SKILLS AND ABILITIES:

• Self-starter with ability to manage multiple priorities.
• Detail Oriented
• Communicative
• Problem Solving/Analysis 
• Time management and task completion skills
• Team Player

Salary Range

$27.90 | $32.05 | $36.67