Credentialing Specialist

Welcome to BayCare Health System, where we are committed to providing exceptional healthcare services to our community. We are currently seeking a highly skilled and organized Credentialing Specialist to join our team. As a Credentialing Specialist, you will play a crucial role in ensuring that our healthcare providers are properly credentialed and privileged to deliver high-quality care to our patients. Your attention to detail and ability to navigate complex credentialing processes will be essential to the success of our organization. If you have a passion for healthcare, a strong understanding of credentialing procedures, and a dedication to accuracy and efficiency, we invite you to apply for this exciting opportunity.

1. Coordinate and manage the credentialing process for all healthcare providers within the organization.
2. Review and verify all provider credentials, licenses, and certifications to ensure compliance with organizational and regulatory requirements.
3. Maintain accurate and up-to-date provider data in credentialing databases and systems.
4. Communicate effectively with healthcare providers and their representatives to obtain necessary documentation and resolve any credentialing issues.
5. Collaborate with various departments within the organization to gather and compile necessary information for credentialing.
6. Conduct thorough background checks for all providers, including education, training, work history, and references.
7. Keep track of provider expirations and ensure timely renewals to maintain compliance.
8. Prepare and submit all necessary credentialing applications to external organizations and insurance companies.
9. Develop and maintain relationships with external agencies and organizations to stay updated on industry changes and requirements.
10. Participate in regular audits to ensure compliance with organizational policies and procedures.
11. Train and educate new providers on credentialing processes and requirements.
12. Maintain strict confidentiality and handle sensitive information with discretion.
13. Identify areas for process improvement and implement changes to enhance efficiency and accuracy.
14. Stay current with industry trends and changes in credentialing regulations to ensure compliance.
15. Provide exceptional customer service to all healthcare providers and internal stakeholders.

According to JobzMall, the average salary range for a Credentialing Specialist in Clearwater, FL, USA is typically between $38,000 and $50,000 per year. However, this can vary based on factors such as the specific company, years of experience, and education level.

BayCare is a leading not-for-profit health care system founded since 1997 that connects individuals and families to a wide range of services at 15 hospitals and hundreds of other convenient locations throughout the Tampa Bay and central Florida regions.