System Credentialing Specialist

JOB DESCRIPTION

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The System Credentialing Specialist is responsible for the System Verification Office (SVO) credentialing and re-credentialing of medical and allied staff performed on behalf of LCMC facilities. Supports departmental activities to ensure quality in conducting, maintaining, and communicating clinical staff credentialing and primary source verifications. Monitors statuses of the credentialing process for the medical and mid-level practitioners at LCMC Health.

GENERAL DUTIES:

Organizes and maintains provider data and files. Processes applications timely and ensures that quality benchmarks are met with regards to turnaround times, accuracy of information, other SVO and regulatory metrics, and in accordance with external requirements (accreditation, federal, and state).

Executes credentialing application and data collection, application processing, primary source verification for all new applicants and applicants for re-cred...