Demo

Credentialing Specialist

Roshal Health
Texas, TX Full Time
POSTED ON 2/7/2025
AVAILABLE BEFORE 3/8/2025
Credentialing Specialist - Remote

Apply to join the Roshal Health Team!

The main responsibility of a Credentialing Specialist is to ensure that all accrediting and regulatory agency requirements are met, manage client-specific needs, and approve technologists to work at client facilities. A highly qualified specialist should have a solid background in healthcare coordination, excellent communication skills, and proficiency in managing logistics.

Responsibilities

  • Ensures the digital technology platform is actively used and complies with EE credentials.
  • Manage the complex process of verifying and maintaining healthcare professionals' qualifications and certifications.
  • Strong attention to detail is paramount, as the role involves meticulously reviewing and validating credentials such as licenses, education, and certifications.
  • Exceptional organizational skills are essential for maintaining accurate records and tracking expiration dates.
  • Keep track of employee credentials that are current or are expiring soon, and provide updates to the relevant parties.
  • Recommend policies and procedures for credentialing to ensure smooth functioning of the process.
  • Continuously improve the flow of onboarding and credentialing for new hires and employees.
  • Research the qualifications of candidates for certificates.
  • Handle employee and client inquiries and complaints related to credentialing.
  • Perform other duties as assigned.

Qualifications

  • Excellent verbal and written communication skills.
  • Excellent decision-making skills with the ability to assess multiple options and to identify the best choice to serve a specified goal.
  • Excellent organizational skills and attention to detail.
  • Negotiation Skills
  • Ability to maintain and manage vendor relationships
  • Proficient with Microsoft Office Suite or related software.

Education & Experience

  • Associate's Degree
  • Working knowledge of general office equipment
  • Desire to be proactive and create a positive experience for others
  • Employee (clinician, technologist, etc.) credentialing/privilege experience, hospital environment, health insurance or managed care
  • Proficiency with or the ability to quickly learn the organization’s HRIS, credentialing platform, and talent
  • Customer/client servicing experience
  • Preferred: Certified Provider Credentialing Specialist (CPCS) OR Certified Professional Medical Services Management (CPMSM)

Roshal Health LLC is an Equal Opportunity / Affirmative Action employer. All qualified individuals will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, ancestry, age, disability, protected veteran status, marital status, or another protected status under federal, state, or local laws.

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