Credentialing Specialist

Overview

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

Skills

LICENCE
MEMBERSHIP
PROVIDER
LICENSURE
CREDENTIALING

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 organize and prioritize work and manage multiple priorities.
  • Excellent verbal and written communication skills.
  • Ability to research and analyze data, Ability to work independently, Ability to establish and maintain effective working relationships, Excellent computer skills
  • 8a -4p 2 years previous Provider credentialing exp.
  • Required. Previous exp. with either Echo or Credential Stream is greatly preferred

If this job is a match for your background, we would be honored 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