Healthcare Credentialing Specialist (Remote)

Matrix Providers is seeking an experienced Healthcare Credentialing Specialist

Join our corporate team working from your home-based office in the U.S.!

Our ideal candidate will have a thorough understanding of the Healthcare credentialing process, requirements, and compliance needs as it relates to privileged and non- privileged medical personnel.

The ability to meet deadlines, and a desire to remain productive and available to the team and our candidates during their credentialing process.

Our Staff work at Department of Defense Medical Treatment Facilities throughout the United States as part of the Defense Health Agency contracts.

In this 100% remote opportunity, you will be part of a collaborative team to ensure all aspects of the credentialing process are completed in a timely and accurate manner, utilizing an eye for detail and a proactive approach to obstacles.

Because this is a fully remote position, candidates should have experience working independently and the ability to stay focused and productive during their workday in order to meet the objectives of the position.

Availability during core business hours is required, and you will be expected to attend required meetings, as assigned.*

Status : Full-time / Remote

• Compensation : This is an hourly position, paid Bi-weekly.
• Schedule : Some flexibility in hours is allowed, but employees must be available during "core" work hours and work at least 40 hours a week.
• Benefits : Competitive financial package with a comprehensive insurance package including health, dental, vision, and life coverage.
• Generous Accrued Paid Time Off (PTO) & 10 Paid Holidays
• 401(k) Plan

The Credentialing Specialist must have the following qualifications :

• Time management skills
• Strong attention to detail
• Organizational skills
• Ability to multitask or compartmentalize when needed
• Effective communication skills
• Ability to manage multiple providers during the credentialing process
• General office skills include but are not limited to typing, Microsoft Office suite, e-fax, Google Chrome
• Effective communications with various departments to verify information as needed
• Provider communication / relations experience
• Healthcare credential specialist experience required
• Experience with Joint Commission Certification a Plus
• Prior Defense Health Agency or Department of Defense / Government Credentialing Experience a Plus

Education :

• High School Diploma Required
• Bachelor's Degree preferred

Scope of Work :

• Credentialing of New Hires
• Final review of application forms before submission
• Communicating with new providers to ensure information is received in a timely manner
• Make sure documents are completed and submitted within set deadlines
• Conduct verification of credentials to ensure good standings
• Review credentialing files and work with healthcare providers to obtain missing, incomplete, and expiring items.
• Review and report adverse actions as required
• Coordinate completion of occupational health and security requirements as needed
• Regular attendance and participation in team meetings and / or conference calls as scheduled
• Work well in both independent and team settings to ensure balanced workloads
• Strong verbal and written communication skills
• Ability to endure large volumes of data entry & information management
• Strong time management skills, especially with demanding and recurring deadlines
• Ability to be innovative, establish priorities, and make decisions independently
• Capable of handling sensitive and confidential information appropriately
• Maintain consistent contact with healthcare providers to ensure that expectations are clear and requirements are completed promptly.
• Utilize advanced problem-solving skills to resolve issues and conflicts that may arise.
• Maintains knowledge of current facility / clinic and agency requirements for credentialing providers.
• Prepares and submits applications for appointment and hospital / clinic privileges reappointment as needed.
• Tracks license, DEA, and professional liability expiration are for client providers.
• Maintains confidentiality of provider information.
• Provides credentialing and privileging verifications
• Demonstrated ability to multitask with several providers at one time while submitting completed packages timely and accurate.
• This job description may not cover or contain a comprehensive listing of activities, duties, or responsibilities required for this job.

Duties, responsibilities, and activities may change at any time, with or without notice.

Matrix Providers is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

For our EEO Policy Statement, please click here.

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