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.

Because of our exciting growth, we are hiring a Medical Credentialing Specialist. The Credentialing Specialist is responsible for partnering with medical providers, hospitals, insurance companies, operations leaders, and other stakeholders to ensure providers are credentialed.

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

Requirements

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