CREDENTIALING SPECIALIST

• Under general supervision, performs the credentialing functions related to the initial and/or reappointment process for all LifeBridge Health providers. Provides administrative support to Credentialing Committees at LifeBridgeHealth System Hospitals as necessary.  New credentialing database, CREDENTIALSTREAM to go live in February!!

KEY RESPONSIBILITIES;

• Manages the documentation of the initial and/or reappointment application process at all LifeBridge facilities.
• Performs administrative duties and verifications within established policy and procedures and State and Joint Commission requirements.
• Initiates sending reappointment packet to provider and processes initial appointments based on departmental assignments.
• Completes required data entry into provider database.
• Completes required verification of information for assigned credentials files.
• Maintains accurate automated data files and ensures the complete and accurate maintenance of credentials files in assigned areas.
• Upon file completion, prepares credentials file for Chief's signature.
• Prepares credentials files for review at hospital specific Credentials Committee meetings.
• Tracks credentialing information through various committees.
• Works on special projects as needed.
• Verifies accuracy of required information.
• Specialist will verify via primary source (when possible) for each application:
• Current/prior hospital affiliations; Professional references; All completed verifications will be filed in the credentials file in appropriate order.
• Maintains a comprehensive credentialing database and prepares reports from physician profiles.
• Maintains accurate automated data files for assigned credentialing departments at all times.
• Prepares a variety of reports utilizing the credentialing software.
• Responsible for independent reporting to track necessary department-assigned providers receive applications in a timely fashion and are followed-up on according to established departmental timeframes.
• Specialist is responsible for querying reports and tracking files monthly.
• Displays quality customer service to internal and external customers.
• Responds to customers within one business day.
• Displays an understanding and awareness of the Hospital's Mission and Vision Statements.
• Displays a commitment to the value of teamwork by building strong relationships with internal and external customers. 

REQUIREMENTS;

• Education: HS Diploma/GED required, AA degree preferred
• Experience: 1-3 years of prior credentialing experience preferred.  Will consider candidates with payer enrollment experience.

Salary range $20 to $30 based on experience and internal equity