Credentialing analysts work primarily for hospitals, clinics, or private practice to ensure that various medical personnel have the credentials they need. These analysts also issue reminders prior to credentials expiring. In some positions, they are involved in helping medical personnel to obtain or renew the credentials they need by analyzing applications and ensuring that all supporting documents are present.
Credentialing analysts also help conduct audits, particularly file audits. When there are discrepancies, they will need to conduct necessary research and follow up to find what is wrong. They also create reports of credentialing information to be reported to various government entities as necessary. Typing and data entry skills are required for this position, and familiarity with databases is also important.
Credentialing analysts usually work in office environments within or separate from medical facilities. Much of the work is done in front of a computer, so endurance for this type of work is necessary and the abilities to multitask and meet deadlines are also important. Some employers prefer those who have certifications, such as "certified provider credentialing specialist" or "certified professional medical services management." These are usually obtained by taking a course, passing a test, and applying for certification. A high school diploma or GED may also be a minimum requirement.
Credentialing Analyst Tasks
Release information to persons and agencies according to regulations.
Evaluate information on applications to verify completeness and accuracy.
Correspond with medical staff to obtain information or inform them of credentialing status or changes.
Maintain records of applications and verification letters.