Intern-Credentialing

• Primary Source Verification (PSV):
  
• Verify professional licenses, board certifications, and educational qualifications directly from the issuing authorities.
  
• Contact previous employers, educational institutions, and licensing bodies to confirm credentials.
  
• Document Management:
  
• Maintain organized and up-to-date files of all credentialing documents.
  
• Ensure timely renewals of certifications and licenses, and track expiration dates.
  
• Update and maintain credentialing software/databases with all relevant information.
  
• Compliance and Accreditation:
  
• Ensure that all credentialing activities meet the requirements of regulatory agencies, such as The Joint Commission and state medical boards.
  
• Prepare credentialing files for internal audits or external accreditation processes.
  
• Provider Enrolment:
  
• Submit and track provider applications for participation in various healthcare networks with the clients.
  
• Communication:
  
• Serve as the liaison between healthcare providers and various institutions (hospitals, insurance companies, etc.).
  
• Coordinate with internal departments (HR, medical staff services, etc.) to ensure that all credentialing processes are completed on time.
  
• Problem Solving and Issue Resolution:
  
• Handle discrepancies or issues that arise during the verification process.
  
• Investigate and resolve any red flags or inconsistencies in a providerhistory or documentation.
  
• Process Improvement:
  
• Identify opportunities to streamline credentialing processes for faster, more efficient workflows.
  
• Keep updated with changes in industry standards and credentialing regulations to ensure the team is following best practices.
  

Skills & Qualifications:

• Strong attention to detail and organizational skills.
  
• Excellent communication skills, both verbal and written.
  
• Ability to manage multiple tasks and prioritize work in a fast-paced environment.
  
• Knowledge of credentialing systems.
  
• Familiarity with healthcare regulations, standards, and best practices in credentialing.
  
• Educational Requirements:
  
• Bachelordegree or equivalent experience in healthcare administration, business, or a related field.
  
• Previous experience in credentialing or medical staff services preferred.