Medical Staff Credentialing Specialist processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Being a Medical Staff Credentialing Specialist loads and maintains provider information in an online credentialing database system. Tracks license and certification expirations for medical staff to ensure timely renewals. Additionally, Medical Staff Credentialing Specialist handles and resolves inquiries regarding credentialing information, process, or status. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor. The Medical Staff Credentialing Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Staff Credentialing Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Catholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island.
At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time.
We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace!
The Credentialing Specialist will be responsible for auditing, data entry performed by clerical staff in Cactus Database, processing the initial and / or reappointment application in a timely manner, communicating with the applicant or re-applicant to keep them abreast on the status of their application and ensure processing is moving smoothly, following up with practitioner on missing items for packet, run all appropriate verifications related to the initial appointment / reappointment process, accurate and timely follow up with verifications – i.e. peer references, hospital affiliations, education, training, and work experience, accurate management of Cactus database for updating physician profiles and privileges at initial appointment and reappointment, prepare completed packets for Chief & Chairman / Director Review, post Credentials Committee / Board of Trustees follow up – i.e. updating privileges, status of applicant, generating appointment / reappointment letters, etc. and assist practitioners with questions when they call or come to our office.
Additional Responsibilities:
Requirements:
This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits.
At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.
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