Credentialing Specialist in Brentwood, TN at Health Support Center

Date Posted: 7/14/2018

Job Snapshot

Job Description

Health Support Center

The Specialist, Credentialing Support Services responsible for credentialing and/or re-credentialing healthcare providers for initial and re-appointment Medical Staff Membership and/or privileges as well as ensuring renewals are completed to maintain compliance.

To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation.  

  • Maintain regular cooperation and compliance with regulatory, accrediting, and membership-based organizations.
  • Responsible for sending out initial applications
  • Process initial and re-appointment application packages for existing providers using MD-Staff, within a specific time frame to verify accuracy and ensure compliance.
  • Ensure healthcare professionals and services meet all established federal and state standards, as well as National Committee for Quality Assurance (NCQA) standards.  
  • Collaborate and work closely with the medical staff office in each facility.  
  • Monitor and update medical licenses and malpractice insurances for providers by set deadlines.
  • Ensure timely renewals on licenses and certifications and coordinate follow up if needed to obtain outstanding items.
  • Communicate with Medical Staff Personnel (MSP) to obtain the necessary information needed to update and complete provider files.
  • Maintain and monitor the database that includes pertinent education, training, experience, and licensure content.
  • Communicate with providers to ensure that records are timely and consistent.

Job Requirements

  • High School Diploma or GED equivalency
  • Minimum 2 years of experience in a similar role
  • Experience with Excel preferred

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran