What does a Medical Staff Credentialing Specialist, Sr. Do?
Processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Loads and maintains provider information in an online credentialing database system. Tracks license and certification expirations for medical staff to ensure timely renewals. Handles and resolves inquiries regarding credentialing information, process, or status. May provide guidance or expertise to less experienced specialists. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor .... Works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. Typically requires 3-5 years of related experience.More Show Less
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The candidate shall have a minimum of 1 to 3 years of practical experience in providing credentialing and privileging i.e. receiving and compiling medical provider legal documentation (medical diplomas, DEA licenses, state licenses, National Practitioner Database records, malpractice insurance documents, certifications, post-graduate training, references, etc.), building comprehensive credentialing packets and ensuring their absolute integrity. ...