Non-Clinical – Human Resources/Onboarding Specialist

Job Title: Credentialing Specialist
Location: Baltimore, MD
Local, Remote or Hybrid: Local
Schedule: Onsite, Mon-Fri 8am-4:30pm
Contract: 26 weeks

Required Qualifications
Education: High School Diploma/GED
Experience: 1-3 years of relevant experience

Key Responsibilities:
– Manages the documentation of the initial and/or reappointment application process at all LBH facilities
– Performs admin duties and verifications within established policy and procedures and State and Joint Commission requirements
– Initiates sending reappointment packet to provider and processes appointments based on departmental assignments
– Completes required data entry into provider database
– Completes required verification of information for assigned credentials files
– Maintains accurate automated data files and ensures the complete and accurate maintenance of files in assigned areas
– Upon file completion , prepares credentials for Chiefs’ signature.
– Prepares files for review at hospital specific Credentials Committee meetings.
– Tracks information through various committees
– Specialist will verify primary source for each application: Current/prior hospital affiliations; professional references;
– Specialist will query the following sources; professional license, National Provider Bank (NPDB) , Office of the Inspector General (OIG) , Health Claims Arbitration Office (HCSAO), Board certifications sites , Malpractice insurance carriers
– Maintains comprehensive credentialing database and prepares reports from physician file.