Medical Staff Credentialing Specialist (On-Site)

The Medical Staff Credentialing Specialist coordinates the credentialing process for healthcare providers, ensuring they meet state and federal regulations. Responsible for reviewing applications, verifying education and training, and maintaining a database of providers.

Requirements

• Process applications for appointment and reappointment for the Medical Staff and Non-Physician Practitioner Staff.
• Identify issues that require additional investigation and evaluation, validate discrepancies and ensure appropriate follow-up and documentation.
• Maintain compliance of expirable items such as licenses, ACLS/BLS certifications, malpractice coverage, TB testing, etc.
• Respond to inquiries from other healthcare organizations according to established timelines and appropriate release of information per organizational policy and regulatory requirements.
• May assist with credentialing audits and may assist to conduct internal file audits.
• Provide ongoing updates, regarding the status of provider credentialing file completion, to relevant parties within timelines and expectations of organizational procedures.
• Assist in planning and organizing medical staff meetings including creating meeting agendas and taking minutes.
• Cover all functions of the Medical Staff Office as directed by the Medical Staff Office Manager.
• Other duties as assigned.