Provider Onboarding Specialist
About The Position
This is a brand new position offering the incumbent a great opportunity for growth! The Onboarding (credentialing) Specialist plays a critical role in supporting the Human Resources department by assisting with billing, coding, collections, and documentation. This role includes managing the hospital and billing credentialing process for new hires, ensuring that all necessary credentialing and licensing documents are submitted, verified, and processed accurately. The Credentialing Specialist ensures that new providers are properly credentialed and compliant with hospital and billing policies and regulatory requirements, facilitating smooth onboarding and uninterrupted claims processing.
Requirements
- High school diploma or equivalent required
- A strong background and desire to provide excellent customer service is required
- Familiarity with hospital credentialing processes for new hires, including document verification, licensure checks, etc.
- Proficiency in Google Workspace (Docs, Sheets, Calendar, etc.) and Microsoft Office Suite (Excel, Word, PowerPoint).
- Strong attention to detail and the ability to perform complex reconciliations and data tracking across multiple service lines.
- Strong organizational skills and the ability to manage multiple tasks and meet deadlines.
- Excellent communication skills, both verbal and written, to effectively communicate with providers, insurance companies, and internal teams.
- Ability to maintain confidentiality and comply with HIPAA guidelines.
- Strong problem-solving skills and the ability to manage sensitive or complex issues with professionalism.
Nice To Haves
- Bachelors degree in healthcare administration, business, human resources, or related field preferred.
- Previous experience in physician and APP (PA, NP) hospital privileging, new hire onboarding, healthcare administration, or a related field strongly preferred.
- Previous experience in navigating MD-Staff preferred.
Responsibilities
- Coordinate the credentialing process for new hires, ensuring that all required documentation (e.g., licensure, board certifications, malpractice insurance, background checks) is collected, verified, and submitted to the appropriate hospital.
- Ensure that new providers meet all hospital credentialing requirements and that their credentials are entered in appropriate software/systems/applications.
- Monitor the progress of credentialing applications and work with the appropriate departments to resolve any issues or delays.
- Communicate with new providers to ensure timely submission of required documentation and inform them about the credentialing process.
- Work with RCM team to ensure that all billing credentialing approvals are obtained before a provider begins patient care or submits claims.
- Maintain accurate records of credentialing status for each new hire and communicate with HR and other departments to ensure smooth onboarding.
- Support additional tasks or projects assigned by management or other departments, such as data analysis or preparation for special audits.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
