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Credentialing Specialist

Company: Texas Nursing Services
Location: Plano
Posted on: March 15, 2023

Job Description:

Job Title: Credentialing and Recredentialing CoordinatorDepartment: Medical StaffingReports to: Director of OperationsPosition Summary:The Credentialing and Recredentialing Coordinator is responsible for verifying and maintaining the credentials of healthcare providers in our medical staffing agency. This includes collecting and reviewing documents, conducting background checks, coordinating with clients and providers to ensure compliance with regulatory standards, and assisting with the onboarding of new providers. The Credentialing and Recredentialing Coordinator plays a crucial role in ensuring the quality and safety of our staffing services.Responsibilities:Verify the credentials of healthcare providers, including education, licensure, certification, and experience Conduct background checks and verify references Coordinate with clients to ensure that credentialing requirements are met Maintain accurate and up-to-date records of provider credentials in our database Communicate with providers and clients to resolve any credentialing issues Monitor regulatory updates and changes to credentialing requirements Assist with the onboarding of new providers Qualifications:A degree in healthcare administration, nursing, or a related field preferred 2+ years of experience in credentialing or a related role preferred Knowledge of healthcare regulatory standards and requirements Strong attention to detail and organizational skills Excellent communication and interpersonal skills Ability to work independently and manage multiple tasks Proficiency in Microsoft Office and database management We offer competitive salaries and benefits, and a supportive work environment.Key Duties

Review all incoming new client contracts or contract revisions for assigned facilities in order to identify unique requirements to ensure that the physicians and healthcare facilities comply with regulations.Review and verify healthcare providers' submitted requirements including but not limited to: licensure, certifications, medical documentation and other critical documents ensuring they are compliant within State, & Facility requirement guidelines- Set up any medical, labs, drugs screen requirements needed.Enter data, & updates into providers file as well as communicate timely updates of clinicians document/ compliance status with Recruiters, & Account managers via the data platform system, email, phone, teams, etc..Consult clients on Credentialing best practices by making recommendations on requirementexpectations and realistic start dates to streamline submission and placement processes in order to increase fill rate of qualified Healthcare providers.Ensure all assigned Healthcare providers are compliant and meet credentialing deadlines according to assignment start dates.Monitor providers file after file is "good to go" to ensure no compliance expires, & licensing is active with no disciplinary actions.Verify & document each providers references, employment, education, background, OIG/GSA, SAMS. -Powered by JazzHR

Keywords: Texas Nursing Services, Plano , Credentialing Specialist, Other , Plano, Texas

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