Overview
Hours:
37.5 hours/week (8:00 AM – 4:00 PM, Monday–Friday)
Duration:
13 Weeks
Requirements
2+ years of credentialing experience (medical staff office or hospital setting preferred).
Strong knowledge of regulatory standards and credentialing best practices.
Excellent written/verbal communication and organizational skills.
Proficient in Microsoft Office and Echo or similar credentialing systems.
Ability to manage multiple tasks independently and meet deadlines
Duties
Verification of Credentials: Confirm that healthcare providers (e.g., physicians, nurses, therapists) have valid and current licenses, certifications, education, and training. Verify board certifications, malpractice history, and work experience.
Compliance and Regulatory Oversight: Ensure all providers meet the requirements of regulatory agencies, hospitals, and insurance networks. Maintain compliance with standards from organizations such as The Joint Commission (TJC) or NCQA.
Enrollment and Privileging: Manage applications for providers to be enrolled with insurance payers (so they can bill for services). Handle the hospital privileging process, which authorizes providers to perform specific procedures within a facility.
Record Maintenance: Maintain accurate and up-to-date credential files for each provider. Track expiration dates for licenses, certifications, and re-credentialing timelines.
Communication and Coordination: Act as a liaison between providers, HR, medical staff offices, and payers. Communicate with state licensing authorities as applicable.
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37.5 hours/week (8:00 AM – 4:00 PM, Monday–Friday)
Duration:
13 Weeks
Requirements
2+ years of credentialing experience (medical staff office or hospital setting preferred).
Strong knowledge of regulatory standards and credentialing best practices.
Excellent written/verbal communication and organizational skills.
Proficient in Microsoft Office and Echo or similar credentialing systems.
Ability to manage multiple tasks independently and meet deadlines
Duties
Verification of Credentials: Confirm that healthcare providers (e.g., physicians, nurses, therapists) have valid and current licenses, certifications, education, and training. Verify board certifications, malpractice history, and work experience.
Compliance and Regulatory Oversight: Ensure all providers meet the requirements of regulatory agencies, hospitals, and insurance networks. Maintain compliance with standards from organizations such as The Joint Commission (TJC) or NCQA.
Enrollment and Privileging: Manage applications for providers to be enrolled with insurance payers (so they can bill for services). Handle the hospital privileging process, which authorizes providers to perform specific procedures within a facility.
Record Maintenance: Maintain accurate and up-to-date credential files for each provider. Track expiration dates for licenses, certifications, and re-credentialing timelines.
Communication and Coordination: Act as a liaison between providers, HR, medical staff offices, and payers. Communicate with state licensing authorities as applicable.
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