What are the responsibilities and job description for the Credentialing Specialist - 1290209 position at Capstone Health?
Credentialing Specialist
Position Overview
The Credentialing Specialist plays a vital role in managing and coordinating the comprehensive credentialing process for healthcare professionals. This position ensures compliance with industry regulations, healthcare standards, and company policies while serving as the primary liaison between healthcare providers, staffing coordinators, and client facilities to maintain accurate and up-to-date credentials.
Essential Duties & Responsibilities
Credentialing Process Management
- Collect, verify, and maintain comprehensive credentials documentation for healthcare professionals
- Process and track initial credentialing applications and manage re-credentialing cycles
- Conduct thorough primary source verification for:
- Licenses and certifications
- Educational background
- Work history
- Professional references
- Board certifications
- Submit and track applications for state licensure, DEA registration, and other required credentials
- Track license and certification expiration dates and coordinate timely renewals
Compliance and Quality Assurance
- Maintain expertise in credentialing requirements, state regulations, and accreditation standards (JCAHO)
- Ensure compliance with healthcare facility requirements and federal/state regulations
- Prepare credentialing files for internal and external audits
- Monitor and maintain compliance with client facility-specific requirements
- Implement and follow quality control procedures for credential verification
Provider Communication and Support
- Serve as the primary point of contact for healthcare professionals regarding credentialing inquiries
- Provide guidance throughout the credentialing and onboarding process
- Address questions and concerns promptly and professionally
- Collaborate with recruitment teams to ensure timely placement of qualified providers
- Maintain proactive communication regarding upcoming credential renewals
Data Management and Reporting
- Maintain accurate and current provider information in credentialing databases
- Generate and analyze regular reports on credentialing status and metrics
- Ensure secure storage and handling of sensitive provider information
- Document all credentialing activities according to established procedures
- Maintain organized digital files and databases of provider credentials
Required Qualifications
- Associate Degree required; Bachelor's degree in Healthcare Administration, Business, or related field preferred
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Disability insurance
- Free parking
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
Education:
- Associate (Required)
Ability to Commute:
- Des Moines, IA 50309 (Required)
Ability to Relocate:
- Des Moines, IA 50309: Relocate before starting work (Required)
Work Location: In person
