AtlantiCare
Atlantic City, NJ
Credentialing Specialist Job Description POSITION SUMMARY Supports departmental activities to ensure quality in conducting, maintaining and communicating physician and provider credentialing, privileging and verifications, in compliance with both facility and accreditation requirements. Serve as a resource to and collaborates with others to advance the quality of practitioners and patient safety. Conducts, participates in, and maintains credentialing and privileging. Determines applicant's initial eligibility for membership/participation. Complies, evaluates, and presents the practitioner-specific data collected for review by one or more decision-making bodies. Analyzes application and supporting documents for completeness and informs the practitioner of the application status, including the need for any additional information. Performs initial or reappointment/re-credentialing for eligible practitioners. Processes requests for privileges. Conducts, participates in, and...