
Certification and Compliance Professional
3 days ago
We are seeking a skilled Credentialing Associate to oversee healthcare credentialing processes and ensure compliance with industry standards.
The ideal candidate will have expertise in regulatory affairs, attention to detail, and ability to manage multiple tasks. They will conduct thorough background checks, verify licenses and certifications, and collaborate with internal teams to address credentialing issues.
Key Responsibilities:
- Manage healthcare credentialing programs, ensuring adherence to industry regulations.
- Collect, review, and verify documentation such as licenses, certifications, and work history.
- Maintain and update credentialing databases with accurate and current provider information.
- Track credentialing status, expirations, and re-credentialing timelines using software tools.
- Act as the primary contact for healthcare providers, guiding them through the credentialing process.
- Collaborate with internal teams, including HR and legal, to ensure credentialing requirements are met.
- Conduct audits to identify areas for improvement and ensure compliance with policies.
- Prepare detailed reports on credentialing activities and outcomes for leadership review.
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