Job Description

• Process initial credentialing and re-credentialing applications, including verifying healthcare provider information and licensing, conducting background checks, and ensuring that all regulatory requirements are met.
• Maintain accurate physician and provider privileging files and ensure that all required approvals are received before granting clinical privileges.

• Coordinate with medical staff personnel to ensure that contract providers and allied health professionals are properly licensed and credentialed.
• Collect information from the National Practitioner Data Bank (NPDB), the applicant and their malpractice insurer, and other relevant sources
• Identify discrepancies in information and conduct follow-ups
• Communicate with healthcare providers and external agencies regarding licensing and credentialing requirements and ensure ongoing compliance with regulatory guidelines.

• Bachelor's degree in healthcare administration, business or related field preferred
• 2+ years of credentialing experience with hospital medical staff
• Experience with state, federal, and accreditation entity regulations and requirements related to credentialing and privileging
• Knowledge of medical credentialing and privileging procedures, standards and software
• NAMSS Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS) preferred
• Comfortable working in a fast-paced healthcare environment and be able to prioritize tasks
• Strong organizational and analytical skills, with attention to detail
• Excellent verbal and written communication skills
• Proficient with Microsoft Office
• Ability to prioritize tasks and work independently
• Ability to focus for extended periods Job

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