POSITION SUMMARY

Responsible for coordinating, monitoring, and maintaining the credentialing and re-credentialing process on behalf of the provider. Facilitates submission of credentialing applications and documentation to outside facilities for the purposes of obtaining privileges. Responsible for the accuracy and integrity of the credentialing database system and related applications. Works under the supervision of the Specialist Supervisor.

ESSENTIAL FUNCTIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Essential Functions:

• Coordinates and monitors the review of practitioner applications and accompanying documents, ensuring applicant eligibility.
• Populates and submits credentialing applications and documents on behalf of the provider for the purposes of being granted privileges at a facility.
• Assist the enrollment team, when necessary, in following up on provider approvals.
• Completes the renewal process of certain credentials such as licensure, DEA registration, etc. on behalf of the provider, when required.
• Submits updates to facilities for renewed credentials on behalf of the provider.
• Interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise.
• Performs miscellaneous job-related duties as assigned.

POSITION QUALIFICATIONS

Competencies:

• Ability to communicate effectively, both orally and in writing.
• Ability to work independently
• Ability to maintain self discipline and motivation in a virtual work environment
• Ability to analyze, interpret and draw inferences from research findings, and prepare reports
• Informational research skills.
• Ability to learn quickly and absorb information
• Must have a positive attitude with a desire to grow and develop additional skills/knowledge
• Ability to make administrative/procedural decisions and judgments.

SKILLS & ABILITIES

Education: High school diploma or GEDExperience: At least 1 year of experience in an office environment or equivalentComputer Skills: Working knowledge of Microsoft office (Adobe, Word, Excel) and general database knowledge