Credentialing Specialist Job at APN Software Services Inc, New Jersey

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  • APN Software Services Inc
  • New Jersey

Job Description

ESSENTIAL FUNCTIONS :

Enforce regulatory compliance and quality assurance

Prepare and maintain reports of credentialing activities such as accreditation, membership or facility privileges

Ensure that all information meets legal, federal and state guidelines when processing applications

Responsible for carrying out various credentialing processes in relation to physicians and allied health practitioners Process applications for initials applicants as well as reappointments (approximately 125-200 quarterly)

Collect and process significant amounts of verification and accreditation information

Maintain and update accurate information in the Echo database (includes education, training, experience, licensure) Prepare material for Credentials Committee meeting, MEC as well as Board of Trustees meeting Sets up and maintains provider information in Echo Maintains confidentiality of provider information

Ensure compliance with the Bylaws at each location as it pertains to the credentialing process

Schedule, and on occasion attend and take minutes for site based medical staff department meetings

Process and collect dues for the site based medical staff Compiles and maintains current and accurate data for all providers Sets up and maintains provider information in online credentialing database

Tracks license and certification expirations for all providers

Maintains confidentiality of provider information

All other duties as assigned

QUALIFICATIONS :

Knowledge of the credentialing process required

Ability to organize and prioritize work and manage multiple priorities

Excellent verbal and written communication skills

Ability to research and analyze data

Ability to work independently

Ability to establish and maintain effective working relationships

Excellent computer skills

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