Credentialing Specialist III - Atlanta, United States - TeleSpecialists LLC

Description

Job Description

Credentialing Specialist III

About Us:

TeleSpecialists is a rapidly growing national telemedicine company seeking the right talent to join our team. We provide emergent and routine neurology and psychiatry services in over 300 hospitals across the country and continuing to expand services. We are seeking the right talent to join our team and help us with our mission of impacting patients, providing timely high-quality care to patients, and transforming the future of healthcare. We have an innovative and entrepreneurial culture that provides the opportunity for personal and professional growth.

About the Role:

TeleSpecialists is looking for a Credentialing Specialist III responsible for supporting the credentialing process of our providers by completing and/or processing credentialing applications and proactively monitoring the status of applications and outstanding items to ensure timely completion of credentialing for our providers. This is a senior level position on the credentialing team that plays a key role in our ability to efficiently privilege providers and scale our patient services.

Essential Responsibilities of this Role:

• Credentialing Specialist III may perform some of the same responsibilities and tasks as the Credentialing Specialist I and II including:
  1. Develop and maintain relationships within the credentialing and licensing teams, other internal departments and/or with our hospital partners
  2. Performs data entry of physician's information into various credentialing applications or systems for processing for both initial credentialing and reappointments
  3. Reviews and analyzes provider's information for accuracy and completeness.
  4. Conducts regular follow-up on the status of applications, compiling all required outstanding documentation and verifying all data or documents have been received to process applications timely.
  5. Documents within the credentialing and licensing software platform.
  6. Makes leadership aware of any potential issues identified during the credentialing process and works in collaboration with provider to document/resolve the issue.
  7. Delegated credentialing functions
  8. Primary source verifications
  9. Preparing credentialing files for review and approval
• Will assist with training and mentoring of Credentialing Specialist I's and II's.
• Identifying opportunities for improvement, leading special projects and implementing process improvement initiatives
• Responsible for assisting with oversight and performance of the team including quality assurance reviews, compliance with policies and procedures and regulatory requirements
• Other duties as assigned.

What You Need to Succeed in the Role

• Ability to interact with internal and external customers
• Experience in an administrative or operational support role
• Ability to type 30+ WPM
• Strong computer skills, being open and able to learn and use new technologies
• Intermediate level skills with Microsoft Outlook, Excel and Word
• Ability to effectively prioritize and execute tasks in a high-pressure environment
• Ability to work independently and proactively in a fast-paced, dynamic environment
• Bachelor's Degree or equivalent is preferred
• 3-5 years credentialing experience required
• Certifications such as CPCS or CPCM is preferred
• Experience working in a hospital, physician practice or healthcare setting is required