Credentialing Specialist jobs in Silver Spring, MD

Verification and Documentation: Collect, review, and verify information related to providers' education, training, licensure, certifications, work history, malpractice history, and professional references. Maintain accurate and up-to-date records of all credentials. 

Application Management: Prepare and submit timely and accurate credentialing applications to accrediting bodies, hospitals, insurance companies, and other relevant entities as required. Track application progress and follow up on outstanding items or requests for additional information. 

Compliance and Quality Assurance: Ensure compliance with relevant accreditation standards, government regulations, and internal policies.  

Communication and Collaboration: Serve as a liaison between providers, internal departments, and external entities to facilitate timely and accurate exchange of credentialing information. Collaborate with medical staff, HR, legal, and other teams to resolve any issues related to provider credentialing. 

Credentialing Database Management: Utilize credentialing software systems or databases to maintain accurate records, track expirations of credentials, and generate reports as needed. 

Continuous Improvement: Stay updated on industry trends, best practices, and regulatory changes related to physician credentialing. Participate in process improvement projects to enhance efficiency, accuracy, and overall quality of the credentialing process.