Medical Staff Credentialing Specialist processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Being a Medical Staff Credentialing Specialist loads and maintains provider information in an online credentialing database system. Tracks license and certification expirations for medical staff to ensure timely renewals. Additionally, Medical Staff Credentialing Specialist handles and resolves inquiries regarding credentialing information, process, or status. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor. The Medical Staff Credentialing Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Staff Credentialing Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
EDUCATION: The Credentialing Specialist must be a high school graduate, with an associate degree or higher. Must have executive office skills with at least two years' experience, knowledgeable of the medical field with special reference to medical staff credentialing process, and knowledge of regulatory standards, excellent computer skills.
TRAINING AND EXPERIENCE: Two years' experience in the credentialing process with excellent organizational and computer skills. Strong project/process management skills. Demonstrated excellent interpersonal skills.
JOB KNOWLEDGE: Must be knowledgeable of the medical field with special reference to medical staff credentialing process and knowledge of regulatory standards.
DESCRIPTION: The Credentialing Specialist is responsible for a timely and compliant credentialing process. He/she must be prepared to advance with changing trends, rules and regulations, and must continually strive for improvement. Able to work independently, yet work as a team member.