Credentialing and Documentation Specialist

Summary Under the general supervision of the Chief Executive Officer, maintains all certifications and licensing records related to the Med Staff/Nursing Credentials and Payor Credentialing for all Physicians.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Documents process and procedures of database. Record and fill all correspondences of the agencies used.
• Stays abreast of and applies knowledge of applicable federal and state laws and regulations and accreditation standards of credentialing.
• Assembles past history records of the hospital contracts, licensing, certifications and other key data. Record and file all correspondences of past/present agencies used.
• Records and maintains due dates and contact information of each agency on spreadsheets.
• Serves as a resource for staff questions as they arise.
• Other transition training duties as necessary.

Certificates, Licenses, Registrations

Associates degree in healthcare related field preferred.

Or equivalent experience.

Other Skills and Abilities

Excellent verbal and written communication skills required.

Demonstrates flexibility via an ability to adapt to changing priorities and regulations.

Basic computer skills required.