Credentialing Specialist (Provider Credentialing)- Temple University Hospital

Temple Health – Temple University Health System; Philadelphia (Philadelphia County); On-site; USD 40,000 - 55,000; Full time

Job summary

A health care provider in Philadelphia seeks a Credentialing Specialist to handle administrative, clerical, and strategic functions related to provider credentialing. Responsibilities include preparing and submitting applications, ensuring database integrity, and supporting evaluation functions. The role requires a high school diploma and 2 years of experience in credentialing within a healthcare environment. This is a full-time, entry-level position within the hospitals and health care industry.

Qualifications

• High school diploma or equivalent required.
• 2 years of experience in physician credentialing required.
• General experience in a hospital setting preferred.

Responsibilities

• Prepare and submit credentialing applications and documentation.
• Manage provider database integrity.
• Support FPPE/OPPE functions and data collection.

Skills

Attention to detail

Knowledge of Joint Commission standards

Knowledge of physician credentialing

Education

High School Diploma or Equivalent

Associate's Degree

Job description

Credentialing Specialist (Provider Credentialing) - Temple University Hospital

Performs complex, diversified administrative, clerical, operational and strategic functions. Responsible for preparing and submitting credentialing applications and supporting documentation for the purpose of medical staff and advanced practice providers credentialing and privileging in accordance with regulatory standards and TUHS guidelines. Ensure integrity of provider database. Works cooperatively/collaboratively with practitioners, their employer and office staff to facilitate the credentialing process. Also, supports the FPPE/OPPE functions, including assurance of timely evaluation and collection of data. Manages assigned duties/functions independently, maintaining a high quality for detail and timeliness.

Education

• High School Diploma or Equivalent Required

Experience

• Associate’s Degree Preferred
• 2 years experience in physician credentialing in a health care environment Required

General Experience and Knowledge

• General experience and knowledge of Joint Commission standards, PA Department of Health regulations, and PA State Board of Medicine licensure requirements Required
• General experience in a hospital setting Preferred

Licenses

• Cert Provider Cred Splst Preferred
• Cert Pro Med Serv Mgmt Preferred

Seniority level

• Entry level

Employment type

• Full-time

Job function

• Health Care Provider

Industries

• Hospitals and Health Care