Job Description

Job Description

Job Description

The Credentialing Specialist is an integral of the PPE, LLC professional team. Processing candidates and working with the Medical Staff Offices of our sites with a strong knowledge of physician credentialing, Joint Commission regulations and Medical Staff Office procedures and practices is the job of this position.

• Works with recruiter and Clinical Services staff to identify the needs and priorities as they relate to the staffing needs of individuals PPE sites.
• Handles all aspects of new business start-ups (sending offer letters and contracts to incumbents and newly recruited providers, providing HR & Payroll with paperwork to set up providers in our Company system, set up answering service for group, malpractice, etc.)
• Processes newly identified candidates by preparing applications and related paperwork to be sent to the candidate for completion and return.
• Reviews returned application for completion and accuracy and sends completed package to the appropriate Medical Staff Office for processing.
• Maintains accurate candidate information in physician database which is updated regularly with current credentials, address changes, status changes, etc.
• Liaisons with insurance credentialing staff to make sure they have necessary paperwork to credential practitioners with insurance companies for billing.
• Follows up regularly with Medical Staff Offices to assist in the credentialing process of new candidates and supplying any needed information on existing physicians (reappointment applications, updated credentials, etc.)
• Orders scrubs/lab coats and prescription pads for new practitioners as needed.
• Responsible for 24-hour emergency phone coverage for hospital sites.
• Review all payroll at month end before it goes to Payroll dept. for processing.
• Develops and maintains strong working relationships with client hospitals, company medical directors and internal colleagues.

Requirements

• Bachelor’s Degree and/or 2-3 years of hospital credentialing experience required
• Proficiency in MS Word, Excel and Access
• Excellent verbal and written communications skills
• Highly organized, detail oriented
• Ability to multi-task and prioritize is essential
• Must be able to work under pressure and deadlines
• Willing to take on new projects as needed
• Reports to Supervisor of Client Services

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