Facility Credentialing Specialist II
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Job Description
Responsible for maintaining credentials of healthcare providers in a remote role for US Anesthesia Partners. Processes applications and monitors licensure activities for physicians and other providers.
Responsibilities:
- Maintains accurate records of providers’ credentials
- Processes providers’ applications for privileges and reappointments and monitors licensure renewal activity for Physicians, CRNA’s, APRN’s, and PA’s
- Processes initial and reappointment assignments for hospitals and surgical centers and for assigned divisions
- Performs internal credentialling for all applicable USAP clinicians, as assigned
- Maintains complete file of provider’s licensure and credentials
- Monitors renewals of licensure and forwards copies of licensure to facilities as renewals are received
- Maintains and updates credentialing database, inclusive of demographic and licensure information
- Maintains and updates continuing medical education/ACLS credits and other training requirements
- Maintains and updates curriculum vitae/profiles for each provider
- Maintains correspondence files and credentialing archival files
- Performs other credentialing duties as requested
- Adheres to all company policies and procedures
- Performs other duties as assigned.
Requirements:
- High School graduate or equivalent
- AS or B.S. degree in business administration or health care related field is a plus
- 2-3 years Credentialing experience preferred
- Knowledge of organization’s policies, procedures and systems
- Skilled in computer applications including MS Word, MS Excel, database administration and scanning applications
- Knowledge of NCQA and/or Joint Commission Accreditation standards
- Skilled in verbal and written communications
- Knowledgeable in Federal and State Regulation on Confidentiality; and Peer Review Guidelines
- Ability to work effectively with staff, physicians and external customers
- Ability to work independently with limited supervision.
Benefits:
- Eligible for a quarterly bonus
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