Job Description

Duties:

• 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.
• This is not a remote job and all work is performed on site.
• 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

Skills:

• Audit
• Healthcare Field Experience- Required

Education:

• Bachelors Degree- Required

Schedule Notes:

• 9:00 AM-5:00 PM

Hours Per Day:

• 8.00

Hours Per Week

• 40.00

Department:

• CREDENTIALING

ATD Technology, LLC is a certified minority woman owned business that creates opportunities to match qualified individuals with client programs while meeting all parties' financial and technical goals. ATD is a full service provider with offerings in Contract, Permanent and Temp-to-Perm staffing solutions. We serve Fortune 1000, mid cap and small cap companies in the Commercial, Public and Government sectors.

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