Credentialing Specialist

US Acute Care Solutions; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

US Acute Care Solutions is seeking a Credentialing Specialist to evaluate and coordinate credentialing processes for healthcare providers. This role involves ensuring compliance with regulations, validating clinician information, and collaborating with various departments. The position offers an excellent benefits package, opportunities for growth, and a supportive work culture in a remote setting.

Benefits

Best in class benefit programs

Qualifications

• Minimum 4 years’ experience related to credentialing.
• Ability to perform tasks in a fast-paced work environment.
• Demonstrated advanced working knowledge of spreadsheets and database management.

Responsibilities

• Review and screen credentialing applications for compliance.
• Collect and validate documents for credentialing standards.
• Communicate with clinicians and hospital partners about credentialing.

Skills

Strong analytical skills

Strong communication skills

Organizational skills

Problem-solving skills

Education

High school diploma or GED

Tools

Microsoft Office Programs

DocuSign

Zoom

Dropbox

Adobe Acrobat

Job description

Join to apply for the Credentialing Specialist role at US Acute Care Solutions

Join to apply for the Credentialing Specialist role at US Acute Care Solutions

Job Posting Closing Date: Open until Filled

Where do you belong?

Your career is more than just a job, it's part of your life. Whether you’re a clinician, or non-clinical professional, at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success.

USACS also understands that location is important. We offer career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture, outstanding benefits and competitive compensation package is best in class.

Job Description

The Credentialing Specialist evaluates, analyzes, and coordinates all credentialing and re-credentialing processes for Physicians and Advanced Practice Providers. The specialist provides integral support to our clinicians and hospital partners directly related to the hospital credentialing process.

Location: Remote

Essential Job Functions

• Review and screen initial and reappointment credentialing applications for completeness, accuracy, and compliance with federal & state regulations, guidelines, policies, and standards.
• Collects and validates clinicians’ documents to ensure the accuracy of all credentialing elements; assesses information and qualifications relative to credentialing standards
• Identifies, analyzes, and resolves extraordinary information, discrepancies, time gaps, and other idiosyncrasies that could adversely impact the ability to credential and enroll clinicians; discovers and conveys issues to clinical and credentialing leadership for sound decision-making following hospital bylaws, credentialing policies, and procedures, federal, state, local and government/insurance agency regulations
• Prepares, electronically tracks, and follows up on appropriate verifications for efficient, high-volume processing of individual applications following applicable credentialing standards, established procedural guidelines, and strict timelines.
• Monitors files to ensure completeness, accuracy, and timely submission; prepares and provides updates internally and externally.
• Enters, updates, and maintains data from clinicians’ applications into the credentialing database, focusing on accuracy, interpreting or adapting data to conform to defined data field uses, and following internal policies and procedures.
• Communicates concisely and timely with clinicians, hospital partners, and administration to provide updates on day-to-day credentialing and privileging.
• Identify, research, and resolve to license and credentialing issues. Responsible for promptly communicating any potential start date delays to providers, department leadership, and the Medical Director.
• Partner with Provider Enrollment, Risk Management, Legal, and Scheduling to validate and supplement application content and to ensure clinicians are privileged according to their contracted start date.
  
  

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 tasks in a fast-paced work environment
• Excellent organizational 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 courteously and professionally. Must have a strong knowledge of correct English, proper grammar, and spelling.
• Demonstrated advanced working knowledge of spreadsheets and database management with a strong emphasis on Microsoft Office Programs- Outlook, Word, Excel, DocuSign, Zoom, Dropbox, and Adobe Acrobat.
  
  

Education And Experience

• High school diploma or GED required; Completed degree(s) from an accredited institution above the minimum education requirement may be substituted for experience on a year-for-year basis.
• Minimum 4 years’ experience related to the duties and responsibilities specified.
  
  

Physical Dimensions

• While performing the duties of this job, the employee is regularly required to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds.
• Required to have close visual acuity to perform the job.
  
  

Hourly Rate: $18.76 - $34.70

Hourly rate may be determined on several factors including but not limited to knowledge, skills, experience, education, geographical location and requirements stated in job description.

US Acute Care Solutions current and potential employees enjoy best in class benefit programs with a wide array of options. To learn more, please visit the following link: http://www.usacs.com/benefits-guide

Click the red apply button to submit an application and resume. If you are an USACS employee, please apply via the Jobs Hub in the Workday system.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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