Credentialing Consultant

New

United StatesFull-TimeMiddle

Salary$55,000–$70,000 annually, plus eligibility for a bonus program.

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Job Details

Bachelor’s degree in Business Administration, Health Administration, Healthcare Management, or a related field, or 4+ years of directly related experience in lieu of degree.
4+ years of experience in the health services industry with direct involvement in medical licenses, hospital privileging, or working in a Medical Staff Office/Verification services.
Thorough knowledge of the complete clinician credentialing process, including risk assessments, state licensure, primary source verifications, and payer enrollment.
Proficiency in Microsoft 365 suite.
Strong analytical skills for data validation and ad hoc analysis.
Self-motivated with the ability to work with limited direction.
Service-oriented mindset with a desire to support team success.
Intellectually curious with a focus on continuous learning and subject matter expertise.
Resourceful in utilizing available information and tools to solve problems.
Persistent and capable of overcoming obstacles.

Collaborate with Practice Managers and Staffing Account Managers to support clinician credentialing workflows.
Provide Tier 1 technical troubleshooting for the clinician credentialing platform and features.
Perform monthly credentialing file audits to ensure controls and compliance guidelines are met.
Use data and analytics to support practice leaders in decision-making.
Support new program credentialing and provide onboarding for new Practice Managers.
Build and maintain strategic relationships with practice leaders to ensure compliance and avoid start-date delays.
Serve as a peer mentor and coach to Practice Managers and central Credentialing team members through training sessions.

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