Credentialing Specialist

Are you passionate about ensuring the highest level of quality and compliance in healthcare? Do you have a keen eye for detail and a strong understanding of regulatory standards? If so, we have an exciting opportunity for you to join our team as a Credentialing Specialist at Mercy. As a Credentialing Specialist, you will play a critical role in maintaining the integrity of our healthcare organization by verifying the credentials of our healthcare professionals. We are looking for a highly organized and detail-oriented individual with excellent communication skills and a strong understanding of credentialing processes. If this sounds like you, we encourage you to apply for this vital role in our organization.

1. Verify and maintain accurate and up-to-date credentials for all healthcare professionals within the organization.
2. Ensure compliance with all regulatory standards and requirements related to credentialing.
3. Conduct thorough and detailed background checks, including education, work history, and licensure, for all healthcare professionals.
4. Collaborate with various departments and external agencies to obtain necessary information and documentation for credentialing.
5. Review and analyze credentialing applications for completeness and accuracy.
6. Communicate effectively with healthcare professionals to obtain missing or incomplete information.
7. Maintain organized and confidential credentialing records.
8. Identify and escalate any potential red flags or discrepancies in credentialing applications.
9. Develop and maintain relationships with external organizations and agencies involved in the credentialing process.
10. Stay updated on changes and updates in regulatory standards and incorporate them into the credentialing process.
11. Provide assistance and support to healthcare professionals in the credentialing process.
12. Participate in audits and quality improvement initiatives related to credentialing.
13. Ensure that all credentialing processes and procedures are followed accurately and efficiently.
14. Collaborate with the leadership team to develop and implement credentialing policies and procedures.
15. Continuously evaluate and improve the credentialing process to ensure efficiency and accuracy.

According to JobzMall, the average salary range for a Credentialing Specialist in St. Louis, MO, USA is $41,000-$59,000 per year. However, this can vary depending on factors such as experience, education, and the specific company or organization the specialist is working for. Additionally, location can also play a role in salary, as larger cities and more competitive industries may offer higher salaries for this position.

Mercy Health Foundation is a nonprofit organization dependent on the generosity of caring individuals to support Mercy’s mission of delivering compassionate care and exceptional service to the St. Louis community.