Credentialling Administration Support Specialist

Parallel ENT & Allergy•San Antonio, TX

6d•Onsite

About The Position

The Credentialing and Administration Support Specialist is responsible for verifying the qualifications and credentials of healthcare professionals, such as physicians and nurses, to ensure compliance with regulations and organizational standards. Key tasks include reviewing applications, conducting background checks, managing schedules, handling correspondence, organizing files, and coordinating meetings. They also assist with data entry, prepare reports, may handle customer inquiries and maintaining accurate records.

Requirements

Highschool diploma or GED
Excellent customer service and computer skills
Strong verbal and written communication skills
Friendly, personable demeanor
Detail oriented

Nice To Haves

Experience in credentialing or privileging within a healthcare setting is preferred

Responsibilities

Verify the credentials of healthcare providers, including educational background, licensure, certifications, training, and work history
Process and review applications for medical staff.
Ensure that all required documentation is complete and accurate before submission for approval.
Maintain and update credentialing databases and records, ensuring they are accurate and current.
Track expiration dates for licenses, certifications, and other credentials, and initiate renewal processes as needed.
Assist with the onboarding process for new healthcare providers, including ensuring that all credentialing requirements are met before they begin practicing.
Answers/screens phone calls and voice messages and transfers to appropriate personnel as necessary
Assists with generating monthly financial reports and other reports
Ability to handle classified and confidential information and practice discretion
Retrieves information as requested from records, emails, minutes, and other related documents; prepares written data summaries when needed
Responds to and resolves administrative inquiries and questions
Coordinates and schedules travel, meetings, and appointments for managers or providers
Prepares agendas, documents, and minutes for meetings
Assists with ordering and maintaining office supplies and equipment
Processes incoming mail and other documents directed to the administrative team
Assist with medical records requests
Performs other related duties as assigned
Assists with referral management and administration
Obtain and accurately document patient demographic and insurance information
Identify scheduling inefficiencies and recommend process improvements to leadership
Facilitate communication between care teams by managing inbound and outbound calls, emails, and faxes at our call center
Ensure compliance with scheduling policies, patient privacy standards, and HIPAA requirements
Enter clinical messages and patient inquiries into the electronic health record (EHR) system with accuracy and timeliness