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Credentialing Specialist
Job
Robert Half
Phoenix, AZ (In Person)
Full-Time
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Job Description
The Privileging Coordinator is responsible for all aspects of the privileging processes for all medical providers who provide care at Health Care Center. The Privileging Coordinator also maintains up-to-date data for each provider in online systems while ensuring timely renewal of licenses and certifications.
Essential Functions
Essential Functions
- Compiles, evaluates, coordinates, and maintains current and accurate data and credentials for all clinicians. Enables timely onboarding of providers and ongoing maintenance of credentialing thereafter.
- Completes Primary Source Verification on all clinicians.
- Sets up and maintains provider information in online CAQH databases and system.
- Tracks and monitors license, DEA, board certification expirations for all providers to ensure timely renewals.
- Maintains files and processes applications for appointment and reappointment of privileges to the Health Care Center.
- Provides Cerner Access to all Providers and Staff for medical records.
- Monitors
NPDB/OIG
for any adverse actions or reprimands against any provider.- Prepares files for board meetings.
- Provides privileging verification.
- Maintains essential lists and reports necessary for reporting to various outside agencies and entities in accordance with federal, state, or local laws.
- Maintains regular and predictable attendance.
- Performs other duties as required.