Credentialing Specialist

Credentialing Specialist

03 Oct 2024
California, Torrance, 90501 Torrance USA

Credentialing Specialist

Description We are seeking a detail-oriented and organized professional to join our team as a Hospital Credentialing Specialist. This vital role focuses primarily on initial credentialing, ensuring all practitioners joining our organization meet the stipulated regulatory, accreditation, and certification standards. You will work closely with various departments within our organization to ensure the seamless onboarding of new healthcare practitioners, promoting the overall quality of care provided at our institution.Responsibilities:

Perform primary source verifications for all practitioner applications.

Maintain accurate and up-to-date credentialing files for all practitioners.

Manage the practitioners’ credentials reappointment process.

Submit completed applications to medical, dental, and other relevant boards for final approval.

Communicate the status of applications with relevant hospital personnel.

Work closely with other departments to process completed applications in a timely manner.

Ensure all practitioners comply with established regulations and standards.

Respond to verification requests about practitioner credentials.

Keep up-to-date with reforms/changes in healthcare laws and regulations.

Develop and implement policies and procedures to streamline credential verification processes.

Requirements

Qualifications:

Associate or Bachelor's degree in Health Information Management, Business Administration, or related field.

At least 2-3 years experience in healthcare credentialing preferred.

Familiarity with Joint Commission, NCQA, and CMS standards.

Strong knowledge of medical terminology.

Experience with credentialing databases and systems.

Excellent organizational and multitasking skills.

Meticulous attention to detail.

Strong communication abilities, both written and verbal.

Ability to maintain confidentiality at all times.

Proficiency in Microsoft Office Suite.

Become a part of our dedicated medical team, safeguarding the credentials of our practitioners and ensuring the delivery of high-quality healthcare services. Apply today!Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .

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