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Medical Staff Credentialing Specialist
Ref No.: 18-03943
Location: Walnut Creek, California
Job Overview
Process credentialing and re-credentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Sets up and maintains provider information in an online credentialing database system. Tracks license and certifications expirations for all providers to ensure timely renewals.
Essential Functions
Receives applications from practitioners requesting membership on the medical staff.
Maintains the confidential credential file of each new applicant; reviews for completeness and notifies physician/practitioners of missing information.
Maintains log of responses and initiates appropriate follow-up obtain verification of information
Utilizes the credentialing program on the computer system to obtain verification in a minimum amount of time
Notifies applicant of completion of the verification process and may schedule interview with the appropriate committee(s).
Sends practitioners' reappointment applications in a timely manner to facilitate completion of the verification and committee review prior to expiration.
Maintains a log of responses and initiates appropriate follow-up to obtain verification of information. Sends second and third notices to those who do not respond to the first requests
Maintains current verification of licensure, DEA malpractice insurance, and certification information in credentials file.
Education Associate's degree  
Experience 0 - 3 years of general work experience