Medical Credentialing
Medical Staff Credentialing and Privileging Program
The University of Florida Provider Credentialing and Privileging Program is an immersive and interactive six-module educational program designed to serve as a broad competency based educational experience.
The program is designed for professionals with responsibility and accountability for review and coordination of the credentialing and/or re-credentialing and privileging process for clinical providers (i.e. psychologists, nurse practitioners, physician assistants, physicians, chiropractors).
The program is asynchronous, allowing participants to start and stop the program based around the individual’s schedule. Educational modules not only provide a broad oversight of government and commercial insurer regulations and requirements, but also provide participants with a ‘tool-kit’ of up-to-date resources for use beyond the program.
Program participants must successfully complete the course with a 70%ile passing score or higher to receive the Professional Certificate.
What You’ll Learn
Define what credentialing is and its crucial role and impact on healthcare delivery
Identify staff responsibilities for credentialing different types of patient care providers
Understand the ‘why’ behind credentialing tasks and processes at healthcare organizations
Identify and familiarize yourself with the items (applications/documents/resources) necessary to successfully complete a credentialing application.
Understand the critical importance of accuracy and completeness regarding credentialing application management.
Review credentialing processes and understand the relationship between the credentialing process and interactions with MCO / Insurance Payers.
Who Should Attend
State and federal government healthcare representatives
Commercial insurance employees
Hospital and outpatient surgery employees
Medical practice administrators
Career Insight
Salary Range
*Sourced from Glassdoor
Job Postings
*Sourced from Lightcast, period Mar. 2023 – Feb. 2024
Common Job Titles
Medical Credentialing Specialist Health System Specialist Physician Credentialing Credentialing Specialist Medical Credentialing Coordinator
Skills Needed
Nursing Medical Records Treatment Planning Primary Care Electronic Medical Record Clinical Practices
A Good Fit if You Have:
Organizational Skills Strong Communication Skills Attention to Detail
Meet The Instructor
