Credentialing Specialist

The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, as well as clinical privileging for Medical Staff, Allied Health Professionals, and all other providers as outlined in the corporate policy and procedures, or hospital bylaws. Utilize MDStaff credentialing software application to perform and monitor all credentialing / background checks, while maintaining accuracy and data integrity. 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.

Education Requirement

BA Required

Knowledge, Skills, Abilities

• 1-2 years experience in Credentialing, particularly with OPPE / FPPE process is strongly preferred
• MD Stat Preferred
• CPMSM or CPCS is preferred
• Responsible for facilitating the Peer Review, Ongoing Professional Practice Evaluation (OPPE), and Focused Professional Practice Evaluation (FPPE) functions utilizing MD Stat Peer review software
• Key roles also include assigning performance cards and reviewers in MD Stat, as well as analyzing, extracting, and reporting on data
• 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

Reason

Special Project

About Equiliem Healthcare

Equiliem Healthcare specializes in staffing clinical, non-clinical, and allied personnel. We excel in all levels, disciplines, and specialties within the healthcare spectrum. Our projects range from short to long-term local and travel assignments. Equiliem is recognized as a certified small business enterprise and has earned the prestigious Joint Commission accreditation for staffing firms. We have been awarded Best in Staffing for four consecutive years by our employees and client partners.

Benefits

We offer a comprehensive benefits package to our employees, which includes :