The Credentialing Representative is responsible for gathering and verifying clinicians’ information. Primary methods of researching information include phones, internet, faxes, emails, and letters. This position is designed to support the clinicians in acquiring proper documentation and coordinating the hospital privilege process.

Location: Remote

ESSENTIAL JOB FUNCTIONS:

• Facilitate the initial and reappointment hospital credentialing/privileging process for new and existing Physicians and Advanced Practice Providers.
• Work closely with hospital medical staff office & state licensing boards to ensure providers can begin working by his/her contracted start date.
• Prepare state, hospital & USACS required written supervision and collaborative agreements for Advanced Practice Providers, facilitating completion, submission and/or properly housing completed agreements.
• Coordinate medical licensing processes including application preparation, submission, maintenance, and renewals
• Follow up and maintain effective communication with clinicians, hospital medical staff offices and state licensing boards to ensure the necessary information is gathered and processed within specified time constraints.
• Identify, research, and resolve licensing and credentialing issues. Responsible for communicating any potential start date delays to providers, department leadership and Medical Director in a timely manner.
• Partner with Provider Enrollment, Risk Management, Legal and Scheduling to validate and supplement application content and to ensure clinicians are privileged according to contracted start date prior to first clinical shift.
• Record detailed notes in credentialing database/spreadsheets to track current application status for individual and department utilization.
• Identify emerging issues and communicate to credentialing team lead and/or manager with recommendations for resolutions
• Collect hospital and insurance carrier required credentialing documents from providers and properly enter information in credentialing database.
• Other special projects as assigned.

KNOWLEDGE, SKILLS AND ABILITIES:

• Strong analytical and problem-solving skills
• Strong communication and interpersonal skills
• Ability to organize and prioritize job tasks and requirements
• Ability to effectively perform in a multi-task work environment
• Excellent organization 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 in a courteous and professional manner. Must have knowledge of correct English, proper grammar, and spelling.
• Knowledge and skills in using personal computers (Windows) with a strong emphasis on Microsoft Office Programs- Outlook, Word, Excel and Adobe Acrobat.
• Ability to maintain patience and composure in difficult situations.
• Ability to work well under pressure and meet strict deadlines.
• Ability to maintain confidentiality
• Ability to pay close attention to detail and produce extremely accurate work.
• Ability to exhibit a commitment to teamwork, supporting alignment with company and department goals and objectives, assisting others to develop their knowledge of the company and department, and adapting to changes in a positive manner.

EDUCATION AND EXPERIENCE:

• High School diploma or equivalent.
• Knowledge of hospital-based credentialing preferred.
• Two years office experience or college course work preferred.

Hourly Rate: $18.76 - $31.26

Job Type: Full-time

Pay: $18.00 - $31.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• AD&D insurance
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Vision insurance

Schedule:

• Monday to Friday

Education:

• High school or equivalent (Required)

Experience:

• Microsoft Office: 1 year (Preferred)
• Microsoft Excel: 1 year (Preferred)

Work Location: Remote

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