Job Description

1. Credentialing Coordination:

   • Collect and verify provider documentation to meet organizational and regulatory standards.
   • Process applications for initial credentialing and recredentialing.

2. Privileging Management:

   • Review and maintain up-to-date provider privilege information.
   • Coordinate with medical staff offices to ensure accurate privilege assignments.

3. Compliance and Verification:

   • Ensure adherence to accreditation standards and state/federal regulations.
   • Verify licenses, certifications, and professional references.

4. Data Management:

   • Maintain accurate and organized provider records in the credentialing database.
   • Generate reports as required for audits and compliance reviews.

5. Communication and Support:

   • Serve as the liaison between providers, medical staff, and credentialing committees.
   • Address inquiries and resolve discrepancies related to credentialing.

• Proven experience in credentialing and privileging processes.
• Strong knowledge of healthcare regulations and accreditation standards (e.g., Joint Commission, NCQA).
• Proficiency with credentialing software and database management.
• Excellent organizational and attention-to-detail skills.
• Strong communication skills for interfacing with providers and staff.

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