Sr. Credentialing Specialist

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The Senior Credentialing Specialist ensures compliance with all regulatory, accrediting and membership-based organizations via development and implementation of a comprehensive credentialing process, for physicians and other healthcare professionals who practice within the University delivery system.

• Reviews and processes applications and reappointment paperwork for health care providers, checking for completeness and accuracy, that will serve as the basis for decisions regarding appointments, reappointments and delineation of clinical privileges for individual members of medical staff.
• Collects data (education, training, experience, and licensure content) from a variety of sources and prepares verification letters and accreditation information.
• Maintains the appropriate database(s) (CACTUS) and ensures all relevant data is inputted in a timely and accurate manner for practitioners and facilities.
• Collaborates with various clinical departments and administrative offices, to include licensing agencies, and insurance carriers, in coordination of the credentialing process.
• Prepares records for regular auditing, as well as maintains close communication with all appropriate practitioners, to ensure that records are current.
• Assists the Credentialing Committee with activities related to the functions of self-governance of the medical staff and performance improvement of the professional services provided by individuals with clinical privileges.
• Ensures all personnel and services adhere to facility and staff policies, department guidelines, regulations, and government laws.
• Confers with appropriate professional, educational associations and personnel, within and outside the University, to promote knowledge/quality standards for the administrative management of healthcare professionals, which assures compliance with practice standards, bylaws, state and federal regulatory requirements (TJC).

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

Job Status:

Full time

Employee Type:

Staff

Pay Grade:

H6