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AdventHealth

Credentialing Specialist

AdventHealth, Florida, New York, United States

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Credentialing Specialist

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AdventHealth

Our Promise To You Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Benefits and perks

Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

Paid Time Off from Day One

403-B Retirement Plan

4 Weeks 100% Paid Parental Leave

Career Development

Whole Person Well-being Resources

Mental Health Resources and Support

Pet Benefits

Schedule: Full time

Shift: Day (United States of America)

2600 LUCIEN WAY, MAITLAND, FL 32751

Job Description

Assists with managed care delegated credentialing audits and conducts internal file audits.

Utilizes the credentialing database to optimize efficiency, performs query, report, and document generation, and submits and retrieves National Practitioner Database reports in accordance with the Health Care Quality Improvement Act.

Monitors the initial, reappointment, and expirables process for all AHS-employed physicians, allied health professional staff, other health professional staff, delegated and community CIN providers affiliated with AHS.

Ensures compliance with regulatory bodies as well as medical staff bylaws, rules and regulations, policies and procedures, and delegated contracts.

Achieves productivity standards as determined by management.

Qualification Requirements

High School Graduate or Equivalent (Required)

Certified Professional Medical Staff Management (CPMSM) - EV Accredited Issuing Body

Certified Provider Credentialing Specialist (CPCS) - EV Accredited Issuing Body

Pay Range $19.76 - $36.75

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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