Senior Credentialing Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the verification process for healthcare professionals, including physicians, dentists, nursing, and allied health.

• Assess applications for completeness.

• Confirm state licensure.

• Gather information from national databanks as well as federal and state records.

• Compile necessary security and credentialing documents.

• Create qualification packages for review by the customer's Security & Credentialing Office.

• Manage timelines and processing while meeting customer expectations.

• Conduct Primary Source Verification (PSV).

• Finalize verifications and ensure compliance with DHA directives, industry trends, and standard credentialing practices.

• Generate and send credentialing-results notification letters to applicants.

• Address applicant inquiries regarding credentialing status.

• Timely respond to questions from the customer's Security and Credentialing Office.

• Provide direct supervision to support staff involved in application processing.

• Implement DHA policies and standards to ensure compliant credentialing operations.

• Collaborate with applicants and QL staff to support and improve credentialing functions.

⛳️ Requirements

• Over five years of experience in medical credentialing.

• Comprehensive knowledge of the credentialing and privileging process.

• Understanding of the required credentials for healthcare professionals.

• Familiarity with appropriate sources used for Primary Source Verification (PSV) and databank queries.

• Knowledge of applicable policies, guidelines, and regulations for the DoD credentialing process or ability to learn.

• At least two years of credentialing experience within the DoD.

• Capability to interact with all levels of military medical staff.

• Strong verbal and written communication skills.

• Exceptional customer relationship management skills.

• Proficient in MS Office, including Word, Excel, and PowerPoint.

• Strong organizational skills.

• Detail-oriented with a focus on accuracy in work.

• A Bachelor's Degree in Healthcare or a related field is preferred.

• An equivalent combination of education, certification, and relevant experience may be accepted.

• Experience in Quality Assurance is preferred.

• Experience with the DoD credentialing process is preferred.

• Demonstrated leadership experience, ability, or aptitude.

🏝️ Benefits

• Paid leave.

• Employer-sponsored group medical insurance options.

• Dental insurance options.

• Vision insurance options.

• Short-term disability insurance.

• Long-term disability insurance.

• Life insurance.

• AD&D coverage.

• Legal services.

• Identity theft insurance.

• Accident insurance.

• Flexible spending account options.

• Health savings account options.

• Employer contribution match through the company-sponsored 401(k) retirement plan, immediately vested.

• Professional courses.

• Certifications.

• Tuition reimbursement programs.