Credentialing Specialist - Remote - Nationwide

Vituity • Sacramento, CA

1d • $22 - $27 • Remote

About The Position

Vituity is seeking a Credentialing Specialist to join their team. This role is responsible for credentialing and recredentialing Physicians and Advanced Providers, coordinating and obtaining necessary information and documents, and verifying credentials according to Vituity's policies and procedures. The specialist will review credentialing information for completeness and identify any "red flag" items, escalating them as needed. They will also maintain current credentials by sending reminders, updating the database, and providing updated credentials to outside parties. Additionally, the role involves providing customer service, assisting with follow-up on paperwork, updating the Salesforce Credentialing database, and scanning documents into electronic files. Support for new client onboarding, including application setup, data import, malpractice insurance requests, databank and license checks, and tracking providers until all hiring requirements are met, is also part of the responsibilities. The company emphasizes a "culture of brilliance" where team accomplishments are valued, and they are dedicated to transforming healthcare and improving lives.

Requirements

• 1 - 2 years of related credentialing work experience in medical field required.
• Associate degree in related field or combination of education and experience required.
• Knowledge of the Vituity policies and procedures relating to credentialing and onboarding.
• Ability to organize and prioritize work and manage multiple priorities.
• Ability to express ideas and convey information effectively in verbal and written communications.
• Ability to establish and maintain effective working relationships as required by the duties of the position.
• Ability to use office equipment and automated system applications/software at an acceptable level of proficiency.
• Ability to read, understand and communicate in English sufficient to perform the duties of the position.
• Intermediate to advanced MS Excel, Word, PowerPoint, and Outlook skills.
• Strong attention to detail, time management, and organization skills.
• Ability to maintain compliance with all regulatory and accrediting institutions.

Responsibilities

• Credentials and recredentials (on a biennial basis) all Physicians and Advanced Providers.
• Coordinates and obtains essential credentialing information and documents.
• Verifies all credentials under Vituity policies and procedures.
• Reviews all credentialing information for completeness and for “red flag” items.
• Identifies and escalates “red flag” items for action, as necessary, to department manager.
• Maintains current credentials for all Physicians and Advanced Providers, including but not limited to: sends out reminder communication, updates the database under Vituity Policies and Procedures, and provides updated credentials to outside parties as needed (i.e. managed care organizations, medical staff offices).
• Provides excellent customer service and credentials support by obtaining/compiling copies of credentials documents, generating profiles, and completion of paperwork to meet organization credentialing needs.
• Assists with follow-up to ensure all needed paperwork and copies of credentials are obtained.
• Inputs and updates the Salesforce Credentialing database with credentialing status.
• Scans all provider/employee/contractor documents and paperwork into electronic files.
• Updates and reorganizes electronic files as needed.
• As needed, provides support with new client onboarding efforts including online application set-up, importing data into the Salesforce Credentialing database and other systems, requests malpractice insurance, runs databank and license checks, and tracks providers until all required credentialing, HR, and payroll items for hire are completed.

Benefits

• Superior health plan options
• Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
• Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service)
• Generous paid time off starting 3-4 weeks’ annually
• Student Loan Refinancing Discounts
• Professional and Career Development Program
• EAP and travel assistance included
• Wellness program
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree