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Diverse Lynx

Credentialing Specialist

Diverse Lynx, New York, New York, us, 10261

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Job Title: Credentialing Specialist (000573)

Duties The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, and clinical privileging for Medical Staff, Allied Health Professionals, and all other providers as outlined in the corporate policy and procedures, or hospital bylaws. The Specialist utilizes MDStaff credentialing software to perform and monitor all credentialing/background checks, while maintaining accuracy and data integrity. The Specialist is also responsible for interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statutes and laws relating to credentialing. This is not a remote job and all work is performed on site.

Key Responsibilities

License Renewals: Ensures that physician licenses are renewed prior to expiration.

Primary Source Verification: Completes primary source verification for new and existing providers to ensure due diligence.

Records Management: Maintains assigned physician files, updating each item/action as processed.

Utilizes database status/alert and other report functions, software tools and links to scanned documentation.

Ensures that information is current and accurate.

Credentialing Standards: Maintains consistency in database entry to ensure accurate and consistent processes.

Back-up Coverage: Provides credentialing back-up for other members of the credentialing group.

Qualifications

Healthcare Field Experience – Required

Bachelor's Degree – Required

Skills: Audit

Schedule & Shift Time Shift Time: 9:00 AM – 5:00 PM

Equal Employment Opportunity Diverse Lynx LLC is an Equal Employment Opportunity employer. All qualified applicants will receive due consideration for employment without any discrimination. All applicants will be evaluated solely on the basis of their ability, competence, and their proven capability to perform the functions outlined in the corresponding role. We promote and support a diverse workforce across all levels in the company.

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