The Credentialing Specialist is responsible and accountable for oversight of tasks and processes developed to facilitate the credentialing process for initial and reappointment applications to medical staff, professional health staff and allied health staff. Responsibilities include overseeing the timelines and workflow processing of the reappointment cycles; prioritizing work to meet anticipated start dates and reappointment expiration; accountable for the completeness and identifying issues requiring additional information or investigation on applications; overseeing the accuracy of application data entry and verification requests; performing the final review of processed verifications for quality and content; developing correspondence to obtain additional information as needed; facilitating Committees in preparation of agenda materials and follow-up of recommendations; coordinating communication of final credentialing recommendations to all parties; generating audits and reports to support/document the verifications and credentialing process; facilitating projects; and initiation of the provider application process. Models excellent customer service skills and takes initiative to meet the needs of all to ensure customer focus and a positive experience. Communicates effectively and with a high level of diplomacy with providers. Must be able to work on multiple daily tasks with efficiency and high-quality accuracy while handling multiple internal and external customer communications. Responsible for planning work to meet regulatory and customer defined deadlines, which requires coordination to minimize redundancy of work when multiple organizations share common providers. Bachelor's degree required. In lieu of education, leadership may consider an Associate’s degree and 3 years of applicable experience. Minimum of two years of experience in credentialing, provider services, administrative support, business or healthcare experience preferred.
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