Credentialing Specialist Job at Talent Software Services, Summit, NJ

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  • Talent Software Services
  • Summit, NJ

Job Description

Job Title

Essential Functions:

  • Enforce regulatory compliance and quality assurance.
  • Prepare and maintain reports of credentialing activities such as accreditation, membership or facility privileges.
  • Ensure that all information meets legal, federal and state guidelines when processing applications.
  • Responsible for carrying out various credentialing processes in relation to physicians and allied health practitioners.
  • Process applications for initial applicants as well as reappointments (approximately 125-200 quarterly).
  • Collect and process significant amounts of verification and accreditation information.
  • Maintain and update accurate information in the Echo database (includes education, training, experience, licensure).
  • Prepare material for Credentials Committee meeting, MEC as well as Board of Trustees meeting.
  • Sets up and maintains provider information in Echo.
  • Maintains confidentiality of provider information.
  • Ensure compliance with the Bylaws at each location as it pertains to the credentialing process.
  • Schedule, and on occasion attend and take minutes for site-based medical staff department meetings.
  • Process and collect dues for the site-based medical staff.
  • Compiles and maintains current and accurate data for all providers.
  • Sets up and maintains provider information in online credentialing database.
  • Tracks license and certification expirations for all providers.
  • Maintains confidentiality of provider information.
  • All other duties as assigned.

Required Skills & Experience:

  • Knowledge of the credentialing process required.
  • Ability to organize and prioritize work and manage multiple priorities.
  • Excellent verbal and written communication skills.
  • Ability to research and analyze data.
  • Ability to work independently.
  • Ability to establish and maintain effective working relationships.
  • Excellent computer skills.

Required Education:

  • High School Diploma or equivalent.

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