Responsibilities
- Responsible for completing and processing a provider’s credential file.
- Process applications to obtain licenses and hospital privileges on behalf of new and existing providers as needed
- Generate and send verification letters needed for licensure
- Complete all necessary and appropriate forms for PSV and file in preparation of Credentialing Committee review
- Prepare check requests for required verification fees
- Maintain and update database with status and necessary data elements.
- Document all tasks, phone calls, emails and other forms of communication during the credentialing and recredentialing process in the database
- Conduct written and oral follow up to determine application status
- Escalate all issues to the appropriate members of the management staff, region, and/or co-workers as necessary
Requirements
- Experienced Healthcare Credentialer
- Experience with physicians and other clinical staff for hospitals or managed care companies
Benefits
- Medical
- Dental
- Vision
Additional Information
- Hours for this Position: Monday- Friday 8am- 5pm
- Respond promptly to all questions, received via phone or email, regarding any license and/or privilege
- Participate in the delegated credentialing audit process as needed
