Credentialing Specialist
我们的文化建立在激情，创新和透明度上。我们不容置疑地支持彼此，并重视强沟通，这源于我们的爱对工作，客户和人民。我们培养一个促进合作，拥有权，确保各级声音的环境。我们相信能够使创新的自动启动者成为热衷于积极影响医疗保健管理的人员。通过我们的学习与发展计划以及创造多样化和包容性的文化致力，我们推动持续增长。使命是：该职位的使命是帮助协调和管理我们的设施和提供商认证在网络管理团队，其流程和服务中。支持无客户体验并随时实现所有客户 SLA.提供透明度，沟通和文件认证过程，工作流程和其他可以内部与客户共享的文物。遵守，支持和推动整体认证运营的质量措施，无论是在安德罗斯内还是面向客户的运营，确保服务交付，程序健康和合规性方面的卓越性。结果 ·认证计划执行：· · 根据需要验证和维护许可，凭证以及保险记录和其他公共服务器的信息；· 对更新的国家和联邦法规和政策进行研究；· 帮助开发内部认证流程；· 使用我们已建立的工作系统和方法执行任务；维持我们的结构化工作流程以支持标准化的过程并努力不断改善它们。· 在安德罗斯数据库中负责输入数据和维护供应商信息；· 负责完成提供者和设施初始和重审申请；· 质量保障认证：· · 与直接和内部团队 （认证管理人员和团队）合作，建立质量指标：· ·消除我们工作和客户交付中的错误 ·减少浪费和重复工作 ·帮助构建并支持基于指标的结构化工作流程，以标准化所有客户的过程，同时适应独特的客户规格 · 进程改进与开发：· · 支持推动增速改进以及下一代认证的过程 · 持续
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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