Credentialing Specialist - St. Michaels Farmers Bank and Trust

Summary:

Processes credentialing and re-credentialing applications of practitioners, reviews application, prepares verification letters, track responses, follows-up for needed information. Conduct background investigations on practitioners including licensure, education and postgraduate clinical training, board certification, disciplinary actions and other professional sanctions, malpractice history, and peer assessment of current competence, in accordance with NCQA, Joint Commission and URAC credentialing standards and other established principles of legal documentation and confidentiality. Maintains credentialing database by entering accurate and up-to-date data for each applicant into the database. Responsible for the accuracy and integrity of the data entered. Assists credentialing staff with duties such as scanning, making copies, preparing mailings, attending staff meetings, preparing minutes, etc. 

Requirements:

• College degree preferred.
• Basic computer knowledge.
• Ability to communicate effectively, both verbally and in writing.
• Related and relevant experience or a demonstrated ability to perform the duties of the position may be considered in lieu of the academic requirements.
• Medical terminology recommended.
• Knowledge of ECHO, Word, Excel, and Access preferred.
• Must be organized and be able to work quickly, independently, and with little supervision. 
• Two years experience in healthcare setting.
• Related and relevant experience or a demonstrated ability to perform the duties of the position may be considered in lieu of the academic requirements. 
• High school diploma or equivalent.
• Coding certification within one year of employment. 

Work Type: 

Full Time