Credentialing Specialist

US Acute Care Solutions

81d • $18 - $34

About The Position

The Credentialing Specialist evaluates, analyzes, and coordinates all credentialing and re-credentialing processes for Physicians and Advanced Practice Providers. The specialist provides integral support to our clinicians and hospital partners directly related to the hospital credentialing process.

Requirements

• High school diploma or GED required; Completed degree(s) from an accredited institution above the minimum education requirement may be substituted for experience on a year-for-year basis.
• Minimum 4 years’ experience related to the duties and responsibilities specified.
• Strong analytical and problem-solving skills.
• Strong communication and interpersonal skills.
• Ability to organize and prioritize job tasks and requirements.
• Ability to effectively perform tasks in a fast-paced work environment.
• Excellent organizational skills with the ability to prioritize assigned duties in an efficient amount of time.
• Ability to effectively use oral and written communication skills with clinicians, external agencies, and management courteously and professionally.
• Demonstrated advanced working knowledge of spreadsheets and database management with a strong emphasis on Microsoft Office Programs- Outlook, Word, Excel, DocuSign, Zoom, Dropbox, and Adobe Acrobat.

Responsibilities

• Review and screen initial and reappointment credentialing applications for completeness, accuracy, and compliance with federal & state regulations, guidelines, policies, and standards.
• Collect and validate clinicians’ documents to ensure the accuracy of all credentialing elements; assess information and qualifications relative to credentialing standards.
• Identify, analyze, and resolve extraordinary information, discrepancies, time gaps, and other idiosyncrasies that could adversely impact the ability to credential and enroll clinicians.
• Prepare, electronically track, and follow up on appropriate verifications for efficient, high-volume processing of individual applications following applicable credentialing standards.
• Monitor files to ensure completeness, accuracy, and timely submission; prepare and provide updates internally and externally.
• Enter, update, and maintain data from clinicians’ applications into the credentialing database, focusing on accuracy.
• Communicate concisely and timely with clinicians, hospital partners, and administration to provide updates on day-to-day credentialing and privileging.
• Identify, research, and resolve license and credentialing issues.
• Communicate any potential start date delays to providers, department leadership, and the Medical Director.
• Partner with Provider Enrollment, Risk Management, Legal, and Scheduling to validate and supplement application content.

Benefits

• Competitive compensation package
• Best in class benefit programs with a wide array of options
• World-class retirement
• Camaraderie stemming from a culture of physician-ownership

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees