- Credential Verification. Credentialing specialists review and authenticate credentials, qualifications, licenses, certifications, and other relevant documents submitted by individuals or organizations. This ensures that the provided information is accurate and meets the required standards.
- Compliance Assessment. They ensure individuals or organizations comply with all legal and regulatory requirements. This may involve checking if licenses are valid, certifications are up-to-date, and professionals meet the necessary educational or training standards.
- Background Screening. Credentialing specialists conduct background checks on individuals to identify any criminal records, disciplinary actions, or other negative factors that may affect their eligibility or reputation. This step helps to ensure public safety and protect the interests of the organization.
- Database Management. They maintain comprehensive databases or records of credentialed individuals or organizations. This includes updating information, tracking expiration dates of licenses or certifications, and ensuring accuracy and confidentiality of data — all an ongoing part of compliance.
- Accreditation and Standards. In certain situations, credentialing specialists may play a role in assessing organizations against established accreditation standards or industry-specific regulations. They evaluate policies, procedures, and practices to determine if they meet the required quality and safety standards.
- Communication and Collaboration. They work closely with providers and organizations to provide guidance on compliance. This involves responding to inquiries, staying up-to-date on credentialing requirements, and facilitating communication to resolve compliance issues
- Knowledge of current and legally-binding contractual language and terminology
- Ability to identify, analyze, and suggest solutions for problems, customer complaints, and client concerns
- Excellent interpersonal and communication skills, including an impeccable mastery of the English language
- Clear adherence to company policies and procurement rules and regulations
- Good organization skills and the ability to multitask on several projects simultaneously
- Knowledge of negotiation best practices, both in-person and in written form, that considers cultural norms and the client's best interests
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Certification Specialist
1 week ago
Addison Group St Louis, United StatesThe actual job duties of a certification/credentialing specialist are many, and each is equally as important in ensuring physicians and other caregivers are able to practice responsibly. Heres a quick breakdown of their core duties: · Credential Verification. Credentialing speci ...
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Certification Specialist
1 week ago
Addison Group St Louis, United StatesThe actual job duties of a certification/credentialing specialist are many, and each is equally as important in ensuring physicians and other caregivers are able to practice responsibly. Here's a quick breakdown of their core duties: · Credential Verification. · Credentialing s ...
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Certification Specialist
1 week ago
Addison Group St Louis, United StatesThe actual job duties of a certification/credentialing specialist are many, and each is equally as important in ensuring physicians and other caregivers are able to practice responsibly. Here's a quick breakdown of their core duties: · Not sure what skills you will need for this ...
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Certification Specialist
1 week ago
Addison Group St Louis, United StatesThe actual job duties of a certification/credentialing specialist are many, and each is equally as important in ensuring physicians and other caregivers are able to practice responsibly. Heres a quick breakdown of their core duties:Credential Verification. Credentialing specialis ...
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Gulfstream Aerospace St. Louis, United States Full timeCertification Engineer Technical Specialist II Completions (St. Louis) in GAC Appleton · Unique Skills: · Thorough understanding of 14 CFR part 25 regulatory compliance requirements under 14 CFR part 21 certification procedures. · Experience with EASA processes and CS 25 regula ...
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Speech Pathologist
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Speech Pathologist
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BJC HealthCare Saint Louis, United States Full timeAdditional Information About the Role · Are you a Speech Language Pathologist looking for a new career at one of the Best Speech Language Pathology Departments in the area? Barnes Jewish West County Hospital is looking for you. · We offer: · An opportunity for increased training ...
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Clinical Pharmacist Specialist
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Clinical Pharmacist Specialist
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Medical Assistant
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Medical Assistant
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BJC HealthCare Saint Louis, United States Full timeAdditional Information About the Role · BJC HealthCare is hiring a Full-Time Medical Assistant (RMA / CMA) for outpatient Internal Medicine Office. · Position Details: · Day Shift: Hours of Office Operation - Mon-Fri -7:30AM-5:00PM (need to be available during Office Operation ho ...
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Medical Assistant
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BJC HealthCare Saint Louis, United States Full timeAdditional Information About the Role · BJC HealthCare is hiring a Full-Time Medical Assistant for outpatient Internal Medicine Office located at our Missouri Baptist Medical Center. · Newly Increased Pay Rates · $2500 Sign on Bonus Eligible (For Registered or Certified MA's) · ...
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Clinical Pharmacist Specialist
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Physical Therapist
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Physical Therapist
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Occupational Therapist
1 week ago
BJC HealthCare Saint Louis, United States Full timeAdditional Information About the Role · Are you looking for an opportunity to advance your rehab career? · Our experienced team at Barnes-Jewish Hospital is looking for a full-time Occupational Therapist. If you are looking for a 1:1 patient care opportunity in an acute care envi ...
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BJC HealthCare Saint Louis, United States Full timeAdditional Information About the Role · BJC Medical Group invites board certified/board eligible Internal Medicine or Family Medicine Physicians to explore our position in the Highlands neighborhood of St. Louis, MO. · Position Details: · Outpatient only position with opportunit ...
Certification Specialist - St Louis, United States - Addison Group
Description
The actual job duties of a certification/credentialing specialist are many, and each is equally as important in ensuring physicians and other caregivers are able to practice responsibly. Here's a quick breakdown of their core duties:
Qualifications
