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MedStar Health · 2 months ago

Credentialing Analyst

Baltimore, MD

Full-time

Onsite

Mid Level

$23.19/hr - $40.61/hr

3+ years exp

MedStar Health is a healthcare organization seeking a Credentialing Analyst to support the credentialing primary source verification process. The role involves maintaining applicant information in a database, ensuring compliance with regulatory standards, and serving as a liaison between hospitals and medical staff administration.

Health CareMedical

Responsibilities

Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations

Tracks initial/re-credentialing application sent received and in-process

In accordance with established policies & procedures and time frames takes action on non-returned applications

Conducts primary source verification for all initial/re-credentialing applications in accordance with defined workflows and established policies and procedures

Responsible for tracking all queries and performing subsequent queries or determining the need for another means of verification (other than routine form letter) in accordance with deadlines and priorities

Responsible for the follow-up on missing data and/or discrepancies in accordance with established time frames and based on knowledge of general credential processes and needs of the clinical assignment

As responses to queries received and information entered in database compares information received with the information provided by the applicant to ensure accuracy and completeness

Responsible for the completion of the verification process within established time frames to ensure the entity has time to complete entity-specific committee reviews prior to appointment/next reappointment date

Imports all reapplications from the online application portal in accordance with the CVO policy for data standardization

Maintains integrity of the credentialing database and all practitioner records. Utilizes appropriate database tracking reports to ensure accuracy and thoroughness of imported data as well as data that may be entered manually

Serves as a liaison with MSH affiliates and their medical staff administration departments MMG and MFC which includes providing effective and timely communication as the status of the application and any issues that may be identified

May process initial/re-credentialing applications for those applications that have been deemed