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Credentialing Specialist

Credentialing Specialist

Requisition ID 
2018-5636
# of Openings 
1
Address 
100 Front Street
Job Locations 
US-MA-Worcester
Posted Date 
6/19/2018
Category 
Administrative - Clinical
Department 
Medical Staff Services
Job Code 
AO281

More information about this job

Overview

Glob Top Places to WOrk 17

 

Reliant Medical Group is seeking a Medical Staff Affairs Specialist to join our exciting and innovative team. If you are looking for a career that will transform, inspire, challenge and reward you then come join us! 

 

 

Full Time: 40 hours

Monday - Friday: 8:00AM - 4:30PM

 

Supports the medical staff through a variety of accountabilities including education and support, conducting credentialing verifications in accordance with state and federal regulations, ensuring ongoing monitoring and compliance as it relates to practitioners’ credentials, completing affiliation applications and other related duties.

Responsibilities

Partners with the Senior Medical Staff Affairs Specialist to credential new physicians and advanced practitioners. Primary credentialing accountabilities - generates inquiries to the National Practitioner Data Bank (NPDB), verifies in writing to the primary source patient care affiliations, malpractice insurance history, education and training.

 

Interfaces with practitioners and appropriate agencies/institutions to verify information and resolve discrepancies.

 

Supports and provides backup for all initial and recredentialing processes.

 

Performs other similar and related duties as required or directed.

Qualifications

Associates Degree or equivalent work experience with three to five years’ experience in credentialing. Excellent interpersonal, communication, and organizational skills. Knowledge of a variety of software products such as Microsoft Word, Excel, Outlook, etc. Demonstrated knowledge of credentialing process. Credentialing related certification (CPCS and/or CPMSM) and knowledge of CACTUS Software preferred.

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