Enterprise Credentialing Specialist : Enterprise Credentialing - Full Time - 08HR - Hoag NewportBeach
About The Position
The Enterprise Credentialing Specialist maintains regular cooperation and compliance with all regulatory, accrediting, and membership-based organizations. The Enterprise Credentialing Specialist creates and carries out various credentialing processes in relation to physicians, various other healthcare professionals and sites. The Enterprise Credentialing Specialist assists the Supervisor in ensuring that all personnel and services adhere to facility and staff policies, department guidelines, regulations, and government laws. The Enterprise Credentialing Specialist generally processes applications and reappointment paperwork, checking for full completeness and accuracy. The Enterprise Credentialing Specialist constantly collects and processes significant amounts of verification and accreditation information, and thus must constantly maintain and update accurate databases for both practitioners and facilities. These databases include pertinent education, training, experience, and licensure content. The Enterprise Credentialing Specialist must prepare their own records for regular auditing, as well as maintain close communication with all appropriate practitioners to ensure that records are up-to-date and consistent. It Is expected that the employee holding this position will demonstrate behaviors consistent with our core values and will comply with all required standards.
Requirements
- High School diploma, GED, California High Proficiency or equivalent work experience
- Proficiency with Microsoft Office Products (Word, Excel, PowerPoint)
- Experience specific to NCQA standards preferred
Nice To Haves
- Certified Professional Credentialing Analyst (CPCS)
- Certified Professional Medical Services Professional (CPMSM)
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
