认证专员
Credentialing Specialist
关于我们
我们的文化建立在热情、创新和透明的基础上。我们毫无保留地支持彼此，重视良好的沟通，这源于我们对工作的热爱、对客户的关注以及对员工的重视。
我们营造一个促进协作、承担责任并确保每个层级的声音都能被听到的环境。我们相信，要赋能那些有创新精神、热衷于对医疗行政产生积极影响的自我驱动者。我们通过学习与发展的项目以及创建多元化和包容性文化的承诺，推动持续成长。
使命
本职位的使命是协助协调和管理我们在网络管理团队中的设施和供应商认证工作流程和服务。确保客户体验顺畅，并始终履行所有客户SLA。提供认证流程、工作流和其他可内部及客户共享的文档的透明度、沟通和记录。遵守、支持并推动整体认证运营的质量措施，包括Andros内部和面向客户的操作，确保服务交付、项目健康和合规性的卓越表现。
成果
- 认证计划执行：
- 验证并维护许可、资质和保险记录及其他PSV，根据要求进行
- 研究更新的州和联邦法规和政策
- 协助开发内部认证流程
- 使用我们已有的工作系统和方法执行职责；维护结构化的工作流程以支持标准化流程，并不断改进
- 管理并协助及时解决内部和外部请求
- 负责数据录入并在Andros数据库中维护供应商信息
- 负责完成供应商和设施的初始及重新认证申请
- 认证质量保证：
- 与直接上级和内部团队（认证经理及团队）合作，建立质量指标：
- 消除工作中和客户交付物中的错误
- 减少浪费和返工
- 协助建立并支持以指标为导向的结构化工作流程，以在所有客户中标准化流程，同时满足独特的客户要求
- 流程改进与发展：
- 支持推动渐进式改进和下一代认证流程的开发
查看英文原文
About Us
Our culture is built on passion, innovation, and transparency. We support each other unequivocally and we value strong communication, which stems from our love for our work, our clients, and our people.
We cultivate an environment that promotes collaboration, taking ownership, and ensuring voices are heard at every level. We believe in enabling innovative self-starters who are passionate about making a positive impact on healthcare administration. We foster continuous growth through our learning & development programs and our commitment to creating a diverse and inclusive culture.
Mission
The mission of this role is to help coordinate and manage our Facilities and Provider credentialing within our Network Management team, its processes, and services. Support a seamless client experience and deliver on all client SLAs - at all times. Provide transparency, communication, and documentation of credentialing processes, workflows, and other artifacts that can be shared internally and with clients. Adhere to, support, and drive quality measures for the overall credentialing operation, both within Andros and client-facing operations, ensuring excellence in service delivery, program health, and compliance adherence.
Outcomes
- Credentialing Program Execution:
- Verify and maintain licensing, credentials, and insurance records and other PSVs as required
- Conduct research on updated state and federal regulations and policies
- Help develop internal credentialing processes
- Perform duties using our established work systems and methods; maintain our structured workflows to support standardized processes and strive to continuously improve them
- Manage and assist in the timely resolution of both internal and external requests
- Be responsible for data entry and maintain provider information in Andros’ database
- Be responsible for completing provider and facility initial and re-credentialing applications
- Quality Assurance of Credentialing:
- Collaborate with immediate and internal teams (Credentialing Manager and team) to build quality metrics:
- Eliminate errors in our work and client deliverables
- Reduce waste and re-work
- Help build and support a metrics-driven, structured workflow to standardize processes across all clients, while accommodating unique client specifications
- Process Improvement & Development:
- Support the process for driving both incremental improvements and the next generation of Credentialing
- Continuously build on subject matter knowledge, including role-specific and leadership/facilitation competencies
- Increase domain expertise by ensuring all Credentialing activities and artifacts are documented, remain current, and trained to teams appropriately
Role-Specific Competencies
- Ownership - You own everything in your domain and take responsibility to get results without excuses or blame. You earn trust through being reliable
- Communication - You are concise, articulate, and timely in all communications. You listen actively, understand questions (and clarify when unclear), and speak up even when it might be uncomfortable
- Problem Solving - You are able to figure out solutions that others may have missed. You are able to work autonomously and as a team player when it comes to tackling issues that seem impossible. You never settle for “good enough”, rather, you operate with a “how can I/we be better?” mentality
- Attention to Detail - You mind the details so nothing slips through the cracks
- Flexibility/Adaptability - You adjust quickly to changing priorities and conditions. You cope effectively with complexity and change
- Follow-through on Commitments - You live up to verbal and written agreements without fail
- High Standards - You lead by example and expect personal performance and team performance to be nothing short of the best
Qualifications
- Familiar with provider credentialing and recredentialing requirements
- Strong computer and software skills
- Excellent interpersonal skills, including excellent verbal and written communication skills
- Ability to demonstrate a high degree of trust and confidentiality
- Ability to work independently and assume assigned responsibilities
- Skilled in efficiency, organization, time management, and prioritization
- Ability to be flexible and function well in a fast-paced environment
- Ability to deal with problems involving several concrete variables in standardized situations
- Ability to handle confidential information
- Minimum 3+ years of provider healthcare credentialing experience (does not include provider enrollment)
- Experience with Microsoft Excel, Jira, Google Sheets, and Tableau is a plus
Hourly rate of $24.00
Originally posted on Himalayas