Credentialing Specialist jobs in United States
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Infojini Inc · 8 hours ago

Credentialing Specialist

Infojini Inc is seeking a Credentialing Specialist to facilitate all aspects of provider credentialing. The role involves managing initial appointments, reappointments, and compliance with accrediting agencies, ensuring accuracy and integrity in credentialing processes.

Information Technology
Hiring Manager
Akash Diwedi
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Responsibilities

The Credentialing Specialist is 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
Must have experience as a Credentialing Specialist within healthcare - credentialing Providers to be considered qualified Healthcare Field Experience- Required Bachelors Degree
Required Credentialing: Responsible for all aspects of provider credentialing and re-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

Credentialing experienceMDStaff softwarePrimary Source VerificationRecords ManagementCompliance knowledgeAttention to detailCommunication skills

Required

Experience as a Credentialing Specialist within healthcare - credentialing Providers
Healthcare Field Experience
Bachelors Degree
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

Infojini Inc

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Infojini Inc. delivers innovative IT Services and Solutions to empower startups, Fortune 500 companies, and global enterprises.

Funding

Current Stage
Late Stage

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