What are the responsibilities and job description for the Credentialing Specialist position at Colorado Springs Cardiology?
The Credentialing Specialist is responsible for managing the credentialing process for healthcare providers and ensuring compliance with regulatory requirements. This role involves verifying qualifications, licenses, certifications, and hospital credentials to support the integrity of our healthcare services.
Essential Functions of the Role:
- Collect, verify, and maintain documentation for the credentialing of healthcare providers.
- Conduct background checks and review professional references.
- Ensure timely and accurate completion of credentialing applications.
- Stay up to date with state and federal regulations related to healthcare credentialing.
- Ensure compliance with accreditation standards and organizational policies.
- Maintain and update provider credentialing databases.
- Generate reports and track the status of credentialing applications with local hospitals.
- Serve as a point of contact for healthcare providers regarding credentialing inquiries.
- Collaborate with clinical and administrative staff to support the onboarding process.
- Identify opportunities for process improvement within the credentialing workflow.
- Participate in training and development activities related to credentialing practices.
Minimum Qualifications:
- Bachelor’s degree in healthcare administration, business, or a related field preferred.
- Minimum of 2 years of experience in credentialing or a related field.
- Familiarity with medical terminology and healthcare regulations.
- Strong attention to detail and organizational skills.
- Excellent verbal and written communication abilities.
- Proficiency in credentialing software and Microsoft Office Suite.
Desired Qualifications
- Certification from a recognized credentialing organization (e.g., CPCS, CPMSM) is a plus
Physical Requirements
This position requires full range of body motion. While performing the duties of this job, the employee is regularly required to sit, walk and stand; talk or hear, both in person and by telephone; use hands repetitively to handle or operate standard office equipment; reach with hands and arms; and lift up to 25 pounds.
Company Benefits
Colorado Springs Cardiology offers its teammates:
- Competitive Salary
- 401K with match up to 4%, vested immediately at 100% once contributions start.
- Comprehensive Healthcare Benefit Package with the option of HSA employer contributions
- Paid Holidays
- Flexible work options
- Paid time off with graduated PTO for years of service, up to 5 weeks a year
- Extended Medical Leave Bank
Equal Employment Opportunity Statement
Colorado Springs Cardiology provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
The statements contained herein are intended to describe the general nature and level of work performed by the Credentialing Specialist, but are not a complete list of the responsibilities, duties, or skills required. Other duties may be assigned as business needs dictate. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions.
