Credentialing Specialist

Andros Technologies Inc.; United States; On-site; USD 60,000 - 80,000; Full time

Job summary

Andros Technologies Inc. is seeking a professional for the Facilities and Provider credentialing role within their Network Management team. The mission includes ensuring a seamless client experience and adhering to quality standards in credentialing operations. Ideal candidates will have a minimum of 3 years of healthcare credentialing experience, excellent interpersonal and organizational skills, and familiarity with Microsoft Excel, Jira, and Tableau. Join us to promote innovation in healthcare administration!

Qualifications

• Minimum 3+ years of provider healthcare credentialing experience.
• Familiar with provider credentialing and recredentialing requirements.
• Ability to handle confidential information.

Responsibilities

• Manage provider credentialing processes and ensure quality.
• Verify and maintain licensing and insurance records.
• Improve and standardize credentialing processes.

Skills

Provider credentialing knowledge

Computer skills

Interpersonal skills

Trust and confidentiality

Time management

Problem-solving

Flexibility

Attention to detail

Tools

Microsoft Excel

Google Sheets

Jira

Tableau

Job description

Our culture is built on passion, innovation, and transparency. We support each other unequivocally and we value strong communication, which stems from our love for our work, our clients, and our people.

We cultivate an environment that promotes collaboration, taking ownership, and ensuring voices are heard at every level. We believe in enabling innovative self-starters who are passionate about making a positive impact on healthcare administration. We foster continuous growth through our learning & development programs and our commitment to creating a diverse and inclusive culture.

Mission

The mission of this role is to help coordinate and manage our Facilities and Provider credentialing within our Network Management team, its processes, and services. Support a seamless client experience and deliver on all client SLAs - at all times. Provide transparency, communication, and documentation of credentialing processes, workflows, and other artifacts that can be shared internally and with clients. Adhere to, support, and drive quality measures for the overall credentialing operation, both within Andros and client-facing operations, ensuring excellence in service delivery, program health, and compliance adherence.

Outcomes

• Credentialing Program Execution:
• Verify and maintain licensing, credentials, and insurance records and other PSVs as required
• Conduct research on updated state and federal regulations and policies
• Perform duties using our established work systems and methods; maintain our structured workflows to support standardized processes and strive to continuously improve them
• Manage and assist in the timely resolution of both internal and external requests
• Be responsible for data entry and maintain provider information in Andros’ database
• Be responsible for completing provider and facility initial and re-credentialing applications
• Quality Assurance of Credentialing:
• Collaborate with immediate and internal teams (Credentialing Manager and team) to build quality metrics:
• Eliminate errors in our work and client deliverables
• Reduce waste and re-work
• Help build and support a metrics-driven, structured workflow to standardize processes across all clients, while accommodating unique client specifications
• Process Improvement & Development:
• Support the process for driving both incremental improvements and the next generation of Credentialing
• Continuously build on subject matter knowledge, including role-specific and leadership/facilitation competencies
• Increase domain expertise by ensuring all Credentialing activities and artifacts are documented, remain current, and trained to teams appropriately
• Ownership - You own everything in your domain and take responsibility to get results without excuses or blame. You earn trust through being reliable
• Communication - You are concise, articulate, and timely in all communications. You listen actively, understand questions (and clarify when unclear), and speak up even when it might be uncomfortable
• Problem Solving - You are able to figure out solutions that others may have missed. You are able to work autonomously and as a team player when it comes to tackling issues that seem impossible. You never settle for “good enough”, rather, you operate with a “how can I/we be better?” mentality
• Attention to Detail - You mind the details so nothing slips through the cracks
• Flexibility/Adaptability - You adjust quickly to changing priorities and conditions. You cope effectively with complexity and change
• Follow-through on Commitments - You live up to verbal and written agreements without fail
• High Standards - You lead by example and expect personal performance and team performance to be nothing short of the best

Qualifications

• Familiar with provider credentialing and recredentialing requirements
• Strong computer and software skills
• Excellent interpersonal skills, including excellent verbal and written communication skills
• Ability to demonstrate a high degree of trust and confidentiality
• Ability to work independently and assume assigned responsibilities
• Skilled in efficiency, organization, time management, and prioritization
• Ability to be flexible and function well in a fast-paced environment
• Ability to deal with problems involving several concrete variables in standardized situations
• Ability to handle confidential information
• Minimum 3+ years of provider healthcare credentialing experience (does not include provider enrollment)
• Experience with Microsoft Excel, Jira, Google Sheets, and Tableau is a plus