US Acute Care Solutions Hiring for Credentialing Assistant at Remote Full Time

Credentialing Assistant’s role is to support the evaluation, analysis, and coordination of all aspects of the credentialing and re-credentialing processes for Physicians and Advanced Practice Providers. Provides integral support to our Credentialing Specialists, clinicians, and hospital partners directly related to the hospital credentialing process.

• Collect and validate clinicians’ documents to ensure the accuracy of all credentialing elements; assess information and qualifications relative to credentialing standards
• Identifies analyzes, and resolves extraordinary information, discrepancies, time gaps, and other idiosyncrasies that could adversely impact the ability to credential and enroll clinicians; discovers and conveys issues to Credentialing Leadership for sound decision-making in accordance with hospital bylaws, credentialing policies, and procedures, federal, state, local and government/insurance agency regulations
• Supports the preparation, electronic tracking, and follow-up on appropriate verifications for efficient, high-volume processing of individual applications in accordance with applicable credentialing standards, established procedural guidelines, and strict timelines.
• Monitors files to ensure completeness, accuracy, and timely submission; prepares and provides updates to the Credentialing Specialist and Credentialing Leadership teams.
• Communicates concisely and timely with Credentialing Specialists and Leadership to provide updates on day-to-day credentialing and privileging.
• Partner with Provider Enrollment, Risk Management, Legal, and Scheduling to validate and supplement application content and to ensure clinicians are privileged according to their contracted start date.
• Participates in the development and implementation of process improvement initiatives.
• Performs miscellaneous job-related duties as assigned.
• Reviews and screens initial and reappointment credentialing applications for completeness, accuracy, and compliance with federal & state regulations, guidelines, policies, and standards.

• Strong analytical and problem-solving skills
• Strong communication and interpersonal skills
• Ability to organize and prioritize job tasks and requirements
• Ability to effectively perform tasks in a high pace work environment
• Excellent organizational skills with the ability to prioritize assigned duties in an efficient amount of time.
• Ability to effectively use oral and written communication skills with clinicians, external agencies, and management courteously and professionally. Must have a strong knowledge of correct English, proper grammar, and spelling.
• Demonstrated advanced working knowledge of spreadsheets and database management with a strong emphasis on Microsoft Office Programs- Outlook, Word, Excel, DocuSign, Zoom, Dropbox, and Adobe Acrobat.
• Ability to maintain patience and composure in difficult situations.
• Ability to work well under pressure and meet strict deadlines.
• Ability to maintain confidentiality
• Ability to pay close attention to detail and produce extremely accurate work.

• High school diploma or GED
• 2 Years of office-based experience preferred

• Sedentary. Not required to exert force or lift more than 10 pounds of weight