Credentialing Specialist (Labor Pool)

Hiring range: $21.30 - $27.68/hourly. Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.

Schedule: Labor Pool (as needed)

About the role

Works under the direct supervision of the Medical Staff Coordinator. Primary responsibility is the processing of applications for appointment and/or clinical privileges within Riverside Health. Also responsible for ensuring the credentialing data is up-to-date, tracking expirations for renewal, ensuring compliance with regulatory requirements, and processing of affiliation verification requests.

Responsibilities

• Completes, submits and follows up on the initial applications and reappointment applications with the applicants timely. Information is updated in the credentialing database and made available on an as-needed basis.
• Maintains and updates appropriate databases for credentialed providers.
• Maintains all accessed information in a confidential manner.
• Notifies providers of regulatory documents (expirables) needed for maintenance of database and credential files as appropriate to their responsibilities.
• Ongoing review of all applications processed to ensure compliance with credentialing standards.
• Responsible for responding to and sending requests for external affiliation verifications in a timely manner.

Requirements

• High School Diploma or GED (Required)
• Provider Credentialing experience (Preferred)

Qualifications

• Certified Professional Credentialing Specialist (CPCS) - National Association Medical Staff Services (NAMSS) (Preferred)