Posted 3 months ago
Credentialing Specilaist
AI Summary
A Credentialing Specialist reviews applications, performs primary source verifications with hospitals, licensing agencies, malpractice carriers, and medical schools, updates credentialing databases, reviews malpractice and regulatory history, manages CAQH profiles, maintains electronic files, and conducts outreach to providers.
About this role
Credentialing Specilaist
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
• Review new applications and supporting documents in a virtual environment and apply policy and criteria required for credentialing processing.
• Perform all required primary source verifications.
• Contact hospitals. licensing agencies. malpractice carriers. and medical schools to obtain credentialing verifications.
• Maintain and update credentialing database records.
• Review malpractice history. regulatory and disciplinary action reports issued by state and federal agencies invoking appropriate processes as defined in policies and procedures.
• Review the CAQH system and download applications or supplemental documents as appropriate.
• Maintain electronic provider files.
• Perform outreach to providers and facilities via phone calls and fax/email correspondence.
• Demonstrate knowledge of credentialing regulatory and accreditation requirements
Qualifications
• HS Diploma/GED
• Experience in healthcare related position/customer service
• Data entry
• General PC skills
Additional Information
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Samantha Rowland
407-478-0332 ext 226
Skills
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