Job description
Job Summary
The Credentialist III is an essential role responsible for managing and overseeing the credentialing processes for various professionals. This position ensures compliance with industry standards and regulatory requirements while maintaining the integrity and accuracy of credentialing data.
Responsibilities
- Evaluate and verify the credentials and qualifications of healthcare providers.
- Maintain records and manage the credentialing database for accuracy and compliance.
- Collaborate with various departments to ensure the credentialing process meets organizational standards.
- Facilitate ongoing monitoring and recredentialing of providers.
- Assist in audits and participate in policy development related to credentialing.
Qualifications
- A minimum of 3 years of experience in credentialing, preferably in healthcare.
- Thorough understanding of state and federal regulations related to healthcare credentialing.
- Strong analytical and organizational skills.
- Excellent communication abilities, both written and verbal.
- Certification in credentialing (such as CPCS or CPMSM) is preferred.
Location
City, State Zip
Work Arrangement
Hybrid
