Credentialing Specialist

Riverside Health System • Newport News, VA

5d

About The Position

Works under the direct supervision of the Medical Staff Coordinator. Primary responsibility is the processing of applications for appointment and/or clinical privileges within Riverside Health. Also responsible for ensuring the credentialing data is up-to-date, tracking expirations for renewal, ensuring compliance with regulatory requirements, and processing of affiliation verification requests.

Requirements

• High School Diploma or GED, (Required)

Nice To Haves

• Provider Credentialing (Preferred)
• Certified Professional Credentialing Specialist (CPCS) - National Association Medical Staff Services (NAMSS) (Preferred)

Responsibilities

• Completes, submits and follows up on the initial applications and reappointment applications with the applicants timely.
• Information is updated in the credentialing data base and made available on an as needed basis.
• Maintains and updates appropriate databases for credentialed providers.
• Maintains all accessed information in a confidential manner.
• Notifies providers of regulatory documents (expirables) needed for maintenance of data base and credential files as appropriate to their responsibilities.
• Ongoing review of all applications processed to ensure compliance with credentialing standards.
• Responsible for responding to and sending requests for external affiliation verifications in a timely manner.

What This Job Offers

• Job Type: Part-time
• Education Level: High school or GED