Credentialing Specialist

Remote

💻 IT

Credentialing Specialists provide administrative support in healthcare settings. Their job is to verify that all medical staff members’ credentials and licenses are valid and up to date. They operate maintain databases and advise staff members on renewal dates for licenses and credentials to help ensure they can continue to work legally without lapses.

What does a Credentialing Specialist do?

A Credentialing Specialist, or Physician Credentials Verification Coordinator, provides administrative assistance and verifies licenses and credentials in the healthcare industry. Their duties include keeping detailed records of medical staff members, maintaining databases and ensuring staff members possess legal licenses and credentials to work in their chosen fields.

Responsibilities

A Credentialing Specialist should be able to fulfill various duties and responsibilities. The following are some duties and responsibilities a Credentialing Specialist should be able to execute:

Create and maintain licensing, credentials and insurance records
Conduct research on updated state and federal regulations and policies
Release information to requesting agencies and public inquiries when required by law
Help develop internal credentialing processes
Monitor license and credential expiration dates and advise staff members of required “renew by” dates
Ensure the facility and staff members are maintaining compliance with regulatory and accrediting institutions

Required Skills

A competitive Credentialing Specialist will have certain skills and qualifications, including: