Credentialing Verification jobs in United States
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Pride Health ยท 16 hours ago

Credentialing Verification

Pride Health is seeking a Credentialing Specialist to ensure clinicians are qualified and competent to practice at healthcare facilities. The role involves managing credentialing processes, ensuring compliance with regulations, and maintaining accurate records of credentialing activities.

Health CareHuman ResourcesInformation Technology
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Growth Opportunities
Hiring Manager
Mohit Saini (M S)
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Responsibilities

To confirm a clinician is qualified, competent, and safe to practice at a specific healthcare facility
Focuses on: Education (degrees, residency, boards) Licenses & certifications Work history Clinical competence Background checks Malpractice history Skills/privileging (what procedures they are allowed to perform)
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 initials 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)
All other duties as assigned

Qualification

Credentialing processData analysisOrganizational skillsCommunication skillsComputer skillsIndependent workRelationship building

Required

Knowledge of the credentialing process 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

Company

Pride Health

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Pride Health is a staffing and recruiting company that provides account management and staffing solutions.

Funding

Current Stage
Growth Stage

Leadership Team

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Stephanie Barnes
Scheduling Lead PHC/OPWDD
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Company data provided by crunchbase