Credentialing Specialist

Hicuity Health•St. Louis, MO

5d•Remote

About The Position

Hicuity Health is the leader in delivering expert telemedicine care in support of patients and bedside care teams in acute and critical care environments. Since our founding in 2006, Hicuity Health has pioneered provider-to-provider telemedicine, fueling success with clinical and technical innovation. Hicuity Health leverages telemedicine to address clinical needs and staffing shortages for a diverse range of clients and care venues nationwide, including health systems, hospitals, post-acute care facilities, and at-home acute care environments. For nearly two decades, Hicuity Health has delivered “Care Innovated” to its clients and patients. Across a range of services, Hicuity offers clinical, technical, and operational expertise that improves patient care and supports healthcare facilities nationwide. The Credentialing Specialist coordinates the Medical Staff and Advanced Practice Providers credentialing and re-credentialing function. Ensures applications are processed in accordance with established policies, rules and regulations, bylaws and regulatory standards thereby ensuring that only qualified practitioners provide care at Hicuity Health.

Requirements

Bachelor’s degree; or Associate’s degree and 3 years’ of relevant work experience required.
Possesses sound judgment, integrity, critical thinking and professional demeanor at all times.
Ability to work independently, handle multiple deadlines and work in a high pace environment.
Ability to use tact and discretion, and maintain confidentiality.
Possesses strong verbal and written communication skills.
Knowledge of Microsoft Office products.
Ability to learn new software, perform queries and develop reports.

Nice To Haves

Experience with MD Staff software helpful

Responsibilities

Adheres and complies with accreditation standards and regulatory requirements developed by Hicuity Health and regulatory agencies (i.e. TJC, government agencies, CMS, Medical Staff By-laws).
Conducts, and maintains credentialing and privileging for all Physicians and Advanced Practice Providers.
Conducts thorough primary source verification of the application file.
Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up.
Responds to inquiries from other healthcare organizations/third parties, interfaces with internal and external clients on day-to-day credentialing and privileging issues.
Utilizes and maintains department systems including files, reports and records.
Maintains integrity of data in credentialing database.
Maintain the confidentiality of all business/work and medical staff information.
Performs other duties and projects as assigned.