Job Description

Our Healthcare Recruitment Staffing Firm is hiring a Physician Credentialing Specialist to join our growing team!

We are hiring a highly motivated, detail-oriented, courageous and positive Credentialing Specialist! The Physician Credentialing Specialist will be responsible for credentialing, onboarding all healthcare professionals with our clients nationwide!

This can be a remote position or can be in-house, we are flexible!

This is a full-time, M-F position with growth opportunities. We are a boutique firm with the family friendly feeling! We strive to bring excellent customer service, compatibility and a strong work ethic to our clients and providers.

Responsibilities:

• Obtaining, reviewing and processing the initial Palm Health Resources credentialing applications for locum tenens healthcare workers
• Re-credentialing existing Healthcare Candidates
• Primary source verification of backgrounds by calling hospitals, licensing boards, medical schools, etc.
• Ensure timely and accurate submission of hospital privileging applications for Physicians & APPs as it relates to each client.
• Monitor and report on the credentialing progress of each candidate.
• Inspects provider applications and resumes for completion, consistency and accuracy. Quickly identify any discrepancies, gaps of employment and other challenges that could negatively impact our ability to credential a provider.
• Runs queries, review NPDB reports, conducts compliance and sanctions monitoring. Notify recruiter and leaders of negative findings, immediately.
• Mailing, faxing and emailing in order to obtain verifications, references and other pertinent data from appropriate sources in a timely manner.
• Work closely with our Healthcare contractors, the client’s Medical Staff Services department, and any 3rd Party groups in order to follow up on outstanding items needed to complete files in a timely manner to ensure that we meet applicable committee meeting dates and targeted start dates.
• Maintain detailed records of provider data in the credentialing database system.
• Conduct background checks and drug screens
• Conduct peer references over the phone verifying provider’s clinical competencies.

Licensing:

• Process and assist with state medical license applications, controlled substance applications, DEA's etc.
• Not for every file, but will often initiate the state board licensing process by completing as much of the licensing application as possible for candidates who need help with their license.
• Prepare detailed cover letters with step-by-step application instructions on how to complete and return the application, including steps to acquire supporting documents.
• Expedite licensure application process by creating urgency via phone and email to collect relevant information in order to submit to the board and ultimately meet start date.
• Coordinate submission of all verifications required by the issuing state board by calling institutions listed in work and education history for accurate contact information in order to expedite on-time submittal of verification information.
• Create urgency with institutions (hospitals, universities, medical boards, etc.) through follow-up calls and online resources to expedite verification completion and submission to the issuing state board.
• Follow up with issuing state board to assess licensure status and expected completion date.

Requirements:

• 3 + years’ experience with medical credentialing processes.
• Excellent interpersonal, written, verbal and presentation skills with the ability to communicate and discuss information in a professional and sensitive manner.
• Strong organizational, critical thinking and problem-solving skills.
• Detail-oriented with solid follow up skills.
• Must be able to work in a fast-paced environment and work well under pressure.
• Microsoft Office skills and experience with a CRM/ATS database.
• Comfortable with creating reports, analyzing data and making recommendations.
• Self-motivated and has ability to work independently and make independent judgments and decisions within established guidelines.
• Possess the knowledge, as well as the following skills and abilities or be able to perform the essential functions of the job, with or without reasonable accommodation, using some other combination of knowledge, skills, and abilities.
• Ability to effectively interact with internal and external employees and other outside contacts.
• Organize and prioritize workload while maintaining the ability to suddenly change what you are doing in order to meet necessary deadlines.
• Demonstrable teamwork attitude.

Job Type: Full-Time

Schedule: Monday-Friday, 8am-5pm or 9am-6pm

Experience:

• Microsoft Office: 5 years (Required)
• CRM/ATS software: 3 years (Required)
• Staffing/Hospital Credentialing: 3 years + (Required)
• VMS experience is a plus

Work Location: Remote

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