Credentialing Specialist

QUALIFICATIONS

• EDUCATION/CERTIFICATION:
  
  
  
  • Associates Degree
  
  
  
  


• REQUIRED KNOWLEDGE:     
  
  
  
  • Great understanding of healthcare terminology processes and strategies.
  
  
  
  


• EXPERIENCE REQUIRED:      
  
  
  
  • 3 or more years of experience in credentialing in the healthcare field
  
  
  
  

ESSENTIAL FUNCTIONS AND BASIC DUTIES

• Organizing and reviewing credentialing and re-credentialing Medical and Allied Health Professional Staffs applications for completeness and accuracy.


• Responsible for the credentialing process for Military Treatment Facilities, VA Hospitals, I.H S Facilities, or other contracted healthcare facilities.


• Performing primary source verifications of education, training, experience, certifications and boards, “as they relate to compliance with the Medical Staff Bylaws, Rules and Regulations, and all federal, state and local accrediting agencies."


• Collects, reviews and investigates pertinent documentation. Reports any and all red flag issues.


• Requests national criminal history background checks on all providers and medical support staff.


• Organizes and submits “credentialing" documentation for review and approval.
  
  Maintains data in computer database and electronic copy file systems with effective dates related to licensing, certifications, renewals, vaccinations and all other instances in compliance with company and client policies.


• Attend meetings associated with medical staff credentialing


• Interacts with Medical Staff members, leadership, co-workers, visitors as well as other institutions and practices.


• Performs regular reviews and reporting of Quality Indicators on Medical Staff


• Regular use of standard office equipment.


• Coordinates and maintains all new hire and ongoing credentialing projects


• Act as liaison with clients to ensure candidates are credentialed based on their facilities requirements and are delivered in a timely manner


• Prepare all documentation required for credentialing presentation

Loyal Source is an Orlando-based workforce solutions provider dedicated to delivering elite services worldwide. With a focus in government healthcare, technical and support services, engineering, and travel healthcare, Loyal Source provides exceptional custom solutions to both private enterprise and government agencies. Loyal Source is a military friendly employers and proud partner of the Military Spouse Employment Partnership program.

For more information go to our website www.loyalsource.com and follow us on LinkedIn, Facebook & Twitter for other positions currently open.

Loyal Source does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.