Description

Core Clinical Partners stands at the forefront of Emergency and Hospital Medicine, delivering unparalleled services through a model that emphasizes patient-centric care and operational excellence. Our corporate values – Genuine, Accountable, Dynamic, Respectful, and Fun – are the pillars that uphold our commitment to revolutionize healthcare delivery.

The Credentialing Specialist is responsible for partnering with medical providers, hospitals, insurance companies, operations leaders and other stakeholders to ensure providers are credentialed. This position will manage all aspects of the hospital and financial credentialing processes for new hires and existing providers to include documentation, communication, monitoring, and staying abreast of credentialing specifications.

Essential Duties:

Stay abreast of credentialing and recredentialing requirements for each client group
Requests, reviews, and verifies credentialing applications and supporting documentation
Establish and maintain database of provider details and credentialing data
Monitor license and certification expirations for providers to ensure timely renewals
Notify providers and administration of upcoming expirations and documentation requests
Collaborate with hospitals, insurance companies, and other stakeholders to extend information and track credentialing process
Provide status updates to operations leaders, providers, and other stakeholders
Resolve issues that arise and escalate when appropriate
Other duties as assigned

Skills, Knowledge, Abilities:

Knowledgeable on credentialing requirements and workflows for providers at differing client groups
Familiar with healthcare jargon and terminology related to credentialing
Excellent verbal and written communication skills
Excellent interpersonal and customer service skills
Proficient in Microsoft Office and credentialing related software
Excellent organizational skills and attention to detail
Work independently and exercise judgement on decision making and issue resolution
Navigate competing priorities and effectively work in a fast-paced environment
Manage information flow in a timely and accurate manner
Collaborate with an array of professionals at various client groups and geographic locations
Identify and execute opportunities for improvement
Exhibit growth mindset and team-orientated behaviors

Core Clinical Partners is an equal opportunity employer, drug-free workplace, and complies with ADA regulations as applicable.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Requirements

Education:

High School Diploma or GED required

Experience:

Prior administrative experience in a healthcare environment
Medical credentialing experience preferred
Experience with MS Outlook, Word, and Excel
Experience with MS Teams and credentialing software preferred

Learn more about this Employer on their Career Site