HR & Credentialing Specialist

Priority Dispatch Corp.; Atlanta (GA); Remote; USD 47,000 - 53,000; Full time

Job summary

A leading consulting firm specializing in equitable healthcare services seeks an HR & Credentialing Specialist. This role supports daily operations of credentialing and private information management, ensuring compliance and efficiency in processes. The position is primarily remote with occasional on-site requirements.

Qualifications

• 3-5 years of administrative experience with credentialing documentation.
• Experience working with management at all levels.

Responsibilities

• Monitor license statuses and sanctions of providers and staff.
• Initiate background checks, licensure verifications, and related processes.
• Maintain provider information in online systems.

Skills

Organizational Skills

Attention to Detail

Communication

Problem-Solving

Customer Service Orientation

Education

High School Diploma or GED

Bachelor’s degree in business, HR, or related field

Tools

Microsoft Office

Job description

Job Details

Job Location: ATLANTA, GA

Position Type: Full Time

Salary Range: $47000.00 - $53000.00 Salary

Job Shift: Any

Description

Job description: Healthcare & Emergency Solutions is a boutique consulting firm that specializes in providing culturally competent, equitable healthcare services for historically excluded communities. Our team of public health professionals and clinical experts is equipped to manage state contracts.

This role will be primarily remote in the Atlanta area, with occasional on-site requirements based on business needs and projects.

Summary

The HR & Credentialing Specialist supports efficient daily operations of credentialing and private information management. Responsibilities include coordinating, monitoring, and maintaining all credentialing and re-credentialing activities, document management, and verification of qualifications, licenses, and backgrounds for employees or contractors, especially in healthcare or related fields.

Duties and Responsibilities

• Monitor license statuses and sanctions of providers and staff
• Collaborate with external partners for necessary checks and verifications
• Organize and maintain credentialing files and records
• Escalate questionable documentation for review
• Initiate background checks, licensure verifications, and related processes
• Evaluate files for completeness and communicate missing items
• Maintain provider information in online systems
• Track and update documents, ensuring renewals and expirations are managed
• Stay informed of credentialing standards and regulations
• Research and resolve complex credentialing issues
• Respond promptly to credentialing emails and inquiries
• Coordinate with outside agencies to ensure timely credentialing
• Propose process improvements and resolve issues efficiently
• Conduct provider credentialing and re-credentialing, including primary source verifications
• Communicate proactively with stakeholders for smooth processes
• Provide excellent customer service to employees and contractors
• Outline credentialing steps and update forms and documentation
• Review invoices and maintain accurate records
• Perform other duties as assigned by management

Qualifications

Required Skills and Qualifications:

• High School Diploma or GED
• Bachelor’s degree in business, HR, or related field
• 3-5 years of administrative experience with credentialing documentation
• Experience working with management at all levels
• Strong organizational, attention to detail, and deadline management skills
• Excellent communication skills
• Proficiency in Microsoft Office
• Knowledge of credentialing processes and regulations
• Ability to work independently remotely and collaboratively
• Flexibility and professionalism
• Customer service orientation
• Ability to multitask and reprioritize
• Problem-solving skills

Performance and Conduct

• Maintain confidentiality
• Respond promptly to requests
• Maintain professional boundaries
• Collaborate effectively as a team
• Respond quickly to communications
• Keep personal and credentialing information updated
• Participate in staff meetings

Physical Demands

• Work remotely or in an office environment
• Occasional travel for meetings or client visits
• Frequent sitting, standing, walking, communication, and hearing
• Occasional lifting up to 25 pounds
• Visual acuity for close and distant vision

Work Environment

• Professional home office or shared workspace
• Travel to community events and sites as needed

FLSA Status: Exempt

Healthcare & Emergency Solutions (HCES) is an Equal Opportunity Employer, committed to diversity and inclusion.