What are the responsibilities and job description for the Credentialing Specialist position at Tanner Memorial Clinic?
Job Description
Job Description
Description :
Tanner Clinic has an immediate opening for a Credentialing Specialist.
Location : Kaysville, Utah
Hours : Part-time - 20 hr / wk. M - F, 8am - 5pm with set days and flexible hours.
Essential Job Responsibilities :
- Compiles and maintains current and accurate data for all providers.
- Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed.
- Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
- Maintains corporate provider contract files.
- Maintains knowledge of current health plan and agency requirements for credentialing providers.
- Sets up and maintains provider information in online credentialing databases and system.
- Tracks license and certification expirations for all providers to ensure timely renewals.
- Ensures practice addresses are current with health plans, agencies and other entities.
- Processes applications for appointment and reappointment of privileges to The Doctors Clinic (ASC).
- Tracks license, DEA and professional liability expirations for appointed ASC providers.
- Maintains ASC appointment files, and information in credentialing database.
- Audits health plan directories for current and accurate provider information.
- Maintains confidentiality of provider information.
- Provides credentialing and privileging verifications.
- Performs other duties as assigned.
Requirements : Education :
Other Requirements :
Performance Requirements :
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