Facility Credentialing Specialist I - REMOTE

U.S. Anesthesia Partners; United States; Remote; USD 40,000 - 55,000; Full time

Job summary

A leading company in the healthcare sector is seeking a dedicated professional for an essential role in maintaining and processing the credentials of its providers. You will manage applications, oversee licensure renewals, and ensure compliance with accreditation standards while supporting various healthcare facilities. The ideal candidate will possess strong computer skills, proficiency in record maintenance, and the ability to work independently in a fast-paced office environment.

Qualifications

• One year Credentialing experience preferred.
• Knowledge of NCQA and/or JCAHO Accreditation standards.
• Knowledge of Federal and State Regulation on Confidentiality.

Responsibilities

• Processes applications for privileges and reappointments.
• Maintains and updates credentialing database.
• Monitors renewals of licensure.

Skills

Knowledge of organization’s policies

Skilled in computer applications

Verbal and written communication

Ability to work independently

Education

High School graduate or equivalent

AS or B.S. degree in business administration

Tools

MS Word

MS Excel

Database administration

Job description

Overview

Maintains accurate records of providers’ credentials. Processes providers’ applications for privileges and reappointments and monitors licensure renewal activity for Physicians, CRNA’s, APN’s, and PA’s.

At this time, US Anesthesia Partners does not hire candidates residing in New York, California, Hawaii, or Alaska.

Job Highlights

ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):

• Processes initial applications and reappointments for hospitals, surgical centers and managed care entities for assigned divisions.
• Maintains complete file of provider’s licensure and credentials. Monitors renewals of licensure and forwards copies of licensure to facilities as renewals are received.
• Maintains and updates credentialing database, inclusive of demographic and licensure information.
• Maintains and updates continuing medical education/ACLS credits and other training requirements.
• Maintains and updates curriculum vitae/profiles for each provider.
• Maintains correspondence files and credentialing archival files.
• Performs other credentialing duties as requested.
• Adhere to all company policies and procedures.
• Perform other duties as assigned.

REPORTING TO THIS POSITION: No direct reports

Qualifications

JOB REQUIREMENTS (Knowledge, Skills and Abilities):

• Knowledge of organization’s policies, procedures and systems.
• Skilled in computer applications including MS Word, MS Excel, database administration and scanning applications.
• Knowledge of NCQA and/or JCAHO Accreditation standards.
• Skilled in verbal and written communications.
• Knowledgeable in Federal and State Regulation on Confidentiality; and Peer Review Guidelines.
• Ability to work effectively with staff, physicians and external customers.
• Ability to work independently with limited supervision.
• Communicate well with the public

EDUCATION/TRAINING/EXPERIENCE:

• High School graduate or equivalent. AS or B.S. degree in business administration or health care related field is a plus.
• One year Credentialing experience preferred.

PHYSICAL REQUIREMENTS:

• Requires prolonged sitting, some bending, stooping and stretching
• Must possess sufficient eye-hand coordination/manual dexterity to operate a keyboard, photocopier, telephone, calculator and other office equipment
• Required normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and evaluations.
• Requires lifting papers and boxes weighing up to 35 pounds occasionally
• Requires dexterity to type at least 35 wpm.

WORKING CONDITIONS (environment and safety):

• Work performed in office environment
• Involves frequent contact with professional staff and managed care organizations
• Work may be stressful at times
• Interaction with others is frequent and often disruptive

disclaimer: The above job description has been written to indicate the general nature and level of work performed by employees within this classification. It is not written to be inclusive of all duties, responsibilities and qualifications required of employees assigned to this job.

US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.