Credentialing Specialist (000573) jobs in United States
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Compu-Vision Consulting Inc. · 10 hours ago

Credentialing Specialist (000573)

Compu-Vision Consulting Inc. is seeking a Credentialing Specialist to manage all aspects of provider credentialing and compliance. The role involves utilizing credentialing software, ensuring accuracy in data management, and maintaining knowledge of relevant regulations and standards.

ConsultingInformation TechnologyOutsourcingSoftware
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Growth Opportunities

Responsibilities

Responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, as well as clinical privileging for Medical Staff, Allied Health Professionals, and all other providers as outlined in the corporate policy and procedures, or hospital bylaws
Utilize MDStaff credentialing software application to perform and monitor all credentialing/background checks, while maintaining accuracy and data integrity
Responsible for interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing
License Renewals: Ensures that physician licenses are renewed prior to expiration
Primary Source Verification: Completes primary source verification for new and existing providers to ensure due diligence
Records Management: Maintains assigned physician files, updating each item/action as processed
Utilizes database status/alert and other report functions, software tools and links to scanned documentation
Ensures that information is current and accurate
Credentialing Standards: maintains consistency in database entry to ensure accurate and consistent processes
Back-up Coverage: provide credentialing back-up for other members of the credentialing group

Qualification

CredentialingPrimary Source VerificationMDStaff softwareRecords ManagementAudit

Required

Must have experience as a Credentialing Specialist within healthcare - credentialing Providers to be considered qualified
Healthcare Field Experience- Required
Bachelors Degree- Required
Responsible for all aspects of provider credentialing and re-credentialing
Ensures that physician licenses are renewed prior to expiration
Completes primary source verification for new and existing providers to ensure due diligence
Maintains assigned physician files, updating each item/action as processed
Utilizes database status/alert and other report functions, software tools and links to scanned documentation
Ensures that information is current and accurate
Maintains consistency in database entry to ensure accurate and consistent processes
Provide credentialing back-up for other members of the credentialing group

Company

Compu-Vision Consulting Inc.

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Compu-Vision Consulting Inc. is a dynamic IT consulting enterprise.

Funding

Current Stage
Growth Stage
Company data provided by crunchbase