External Credentialing Specialist

TeleSpecialists; Brookhaven (GA); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Great culture with a team environment

Diverse work environment

Career advancement opportunities

Medical, Dental and Vision benefits

Tuition Reimbursement

Paid Vacation

Leadership Training Classes

Job summary

A leading digital healthcare provider is seeking an External Credentialing Specialist to streamline the credentialing process for its providers. This role involves maintaining relationships with internal teams and hospital partners, data entry, and verifying documentation accuracy. Candidates should possess at least 1-3 years of credentialing experience and strong computer skills. Join us if you're ready to make an impact in healthcare delivery while cultivating your career in a supportive team environment.

Qualifications

• Strong interpersonal skills for effective communication.
• Administrative experience in healthcare settings preferred.
• Proficient in Microsoft Office Suite, especially Outlook and Excel.
• Credentialing experience of 1-3 years is necessary.

Responsibilities

• Maintain relationships with credentialing and licensing teams.
• Enter and process physician data into credentialing systems.
• Verify accuracy of provider information for credentialing.
• Follow-up on application statuses and document accordingly.
• Document processes within credentialing software.
• Alert leadership of any credentialing issues.

Skills

Customer interaction skills

Administrative support experience

Typing speed 30+ WPM

Strong computer skills

Intermediate Microsoft Office skills

Task prioritization

Independent work ability

Credentialing experience

Education

High School Diploma or equivalent

Tools

Microsoft Outlook

Microsoft Excel

Microsoft Word

Job description

TeleSpecialists is transforming healthcare delivery as the nation's largest and fastest-growing digital healthcare leader. By providing expert neurological and psychiatric care directly to over 400 hospitals and health systems across the country, we don't just provide care; we pioneer solutions that make quality healthcare easily accessible.

Join a team where your passion meets our purpose. If you’re inspired by innovation, thrive in a collaborative and entrepreneurial environment, and want to be a part of a team that’s reshaping the future of patient care, we want you on our team. At TeleSpecialists, you'll discover more than just a job. You will be able to experience meaningful work, accelerated career growth, and the opportunity to redefine healthcare for the future.

Tele Specialists Offers:

• A great culture with a team environment
• A fun, diverse work environment
• A rapidly growing company with career advancement opportunities
• Medical, Dental and Vision benefits
• Tuition Reimbursement
• Paid Vacation
• Leadership Training Classes

About the Role

TeleSpecialists is looking for an External Credentialing Specialist responsible for supporting the credentialing process of our providers by completing and/or processing credentialing applications and proactively monitoring the status of applications and outstanding items to ensure timely completion of credentialing for our providers. This is a position for an experienced credentialing professional on our team that plays a key role in our ability to efficiently privilege providers and scale our patient services.

Essential Responsibilities of this Role

• Develop and maintain relationships within the credentialing and licensing teams, other internal departments, and/or with our hospital partners.
• Performs data entry of physician’s information into various credentialing applications or systems for processing for both initial credentialing and reappointments.
• Reviews and analyzes provider’s information for accuracy and completeness.
• Conducts regular follow-up on the status of applications, compiling all required outstanding documentation, and verifying all data or documents have been received to process applications timely.
• Documents within the credentialing and licensing software platform.
• Makes leadership aware of any potential issues identified during the credentialing process and works in collaboration with a provider to document/resolve the issue.
• May be assigned to work with more advanced credentialing applications or relationships such as delegated credentialing, obtaining primary source verifications, higher level or complex provider files, etc.
• Other duties as assigned.

What You Need to Succeed in the Role

• Ability to interact with internal and external customers.
• Experience in an administrative or operational support role.
• Ability to type 30+ WPM.
• Strong computer skills, being open and able to learn and use new technologies.
• Intermediate level skills with Microsoft Outlook, Excel and Word.
• Ability to effectively prioritize and execute tasks in a high-pressure environment.
• Ability to work independently and proactively in a fast-paced, dynamic environment.
• High School Diploma or equivalent.
• 1-3 years credentialing experience.
• Experience working in a hospital, physician practice or healthcare setting is required.