The Credentialing Specialist supports the Department Head in credentialing all practice locations as well as our clinicians. The Credentialing Specialist is also responsible for maintaining accurate records, up to date licensing information for physicians/sites as well as obtaining required certifications for site readiness.
Credentialing specialists maintain regular cooperation and compliance with all regulatory, accrediting, and membership-based organizations. Adheres to NCQA guidelines. They create and carry out various credentialing processes in relation to physicians, medical assistants, and various other healthcare professionals. They ensure that all personnel and services adhere to facility and staff policies, department guidelines, regulations, and government laws.