Credentialing Specialist

Overview

On Site
BASED ON EXPERIENCE
Contract - W2
Contract - Independent
Contract - 2+ mo(s)

Skills

CREDENTIALING
RE-CREDENTIALING
RECREDENTIALING
HEALTHCARE
HOSPITAL
CLINIC
PHYSICIANS
HEALTH PRACTITIONERS
PROVIDERS

Job Details

Credentialing Specialist

Job Summary: Talent Software Services is in search of a Credentialing Specialist for a contract position in Morristown, NJ. The opportunity will be three months with a strong chance for a long-term extension.

Primary Responsibilities/Accountabilities

:

  • Enforce regulatory compliance and quality assurance
  • Prepare and maintain reports of credentialing activities such as accreditation, membership, or facility privileges
  • Ensure that all information meets legal, federal, and state guidelines when processing applications
  • Responsible for carrying out various credentialing processes in relation to physicians and allied health practitioners
  • Process applications for initial applicants as well as reappointments (approximately 125-200 quarterly)
  • Collect and process significant amounts of verification and accreditation information
  • Maintain and update accurate information in the Echo database (includes education, training, experience, licensure)
  • Prepare material for the Credentials Committee meeting, MEC, as well as the Board of Trustees meeting
  • Sets up and maintains provider information in Echo
  • Maintains confidentiality of provider information
  • Ensure compliance with the Bylaws at each location as it pertains to the credentialing process
  • Schedule, and on occasion, attend and take minutes for site-based medical staff department meetings
  • Process and collect dues for the site-based medical staff
  • Compiles and maintains current and accurate data for all providers
  • Sets up and maintains provider information in the online credentialing database
  • Tracks license and certification expirations for all providers
  • Maintains confidentiality of provider information
  • All other duties as assigned


Qualifications:

  • Knowledge of the credentialing process is required
  • Ability to organise and prioritise work and manage multiple priorities
  • Excellent verbal and written communication skills
  • Ability to research and analyse data
  • Ability to work independently
  • Ability to establish and maintain effective working relationships
  • Excellent computer skills

If this job is a match for your background, we would be honoured to receive your application!

Providing consulting opportunities to TALENTed people since 1987, we offer a host of opportunities, including contract, contract to hire, and permanent placement. Let's talk!

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About Talent Software Services, Inc