CREDENTIALING SPECIALIST II

Description

Coordinates the credentialing and clinical privilege, and provider enrollment applications. Ensures credentialing files are completed and accurately verified along with all required documentations prior to review by the Credentialing Manager in preparation for Credentials Committee.

Performs monthly audits of Cactus database to ensure correct information is entered by credentialing specialists for practitioners. Provides backup to department manager for clinic rosters and reporting information as requested by departments and payers.

Assists in the maintenance of all practitioners’ credentials files, assuring that all mandatory documents are current and on file.

Provides training or serve as an advisor/mentor to new department members. Provides training in Cactus to other departments as applicable.

Assists in the preparation of appointment/reappointment letters and delineation of privileges for practitioners.