Job Description

Job Description:

Performs complex and diverse administrative clerical operational and strategic tasks. Responsible for preparing and submitting credentialing applications and supporting documentation for medical staff and advanced practice providers ensuring compliance with regulatory standards and organizational guidelines. Maintains the accuracy and integrity of provider databases. Collaborates with practitioners employers and office staff to streamline the credentialing process. Supports FPPE/OPPE functions including timely evaluations and data collection. Independently manages assigned tasks while maintaining attention to detail and meeting deadlines.

Requirements:

Education:

• High School Diploma or Equivalent (Required)
• Associates Degree (Preferred)

Experience:

• 2 years of experience in physician credentialing within a healthcare environment (Required)
• Knowledge of physician credentialing software (Required)
• Familiarity with regulatory standards such as Joint Commission state health department regulations and medical licensure requirements (Required)
• Experience in a hospital setting (Preferred)

Licenses/Certifications:

• CPCS (Certified Provider Credentialing Specialist) or CPMSM (Certified Professional Medical Services Management) (Preferred)

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