Main Areas of Responsibility:
1. Initiate, review, and process provider credentialing and privileging applications while adhering to all relevant guidelines, policies and procedures.
2. Maintain provider credentialing files/e-files and/or databases with current and accurate information; analyze and resolve provider file issues.
3. Produce queries and reports to track the efficiency and effectiveness of the process.
Additional Areas of Responsibility:
Supervised by the Director of Revenue Cycle Management, the Credentialing Specialist is responsible for originating/processing all provider applications for initial privileging, including temporary privileging as applicable, and for full appointment/reappointment to the FCCH Clinical Staff; this activity must be conducted in accordance with FCCH bylaws/policies/procedures, The Joint Commission standards, and State and Federal regulations to assure that only qualified professionals provide care at FCCH.