Credentialing Consultant
Sound Physicians
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $55,000 - $70,000 per year
About the role
- Understands national, state, and market dynamics in the clinician credentialing domain
- Works interactively with colleagues within their portfolio and the Clinician Services department to provide guidance and answer questions related to clinician credentialing
- Brings ideas and innovation to the Credentialing team to improve and develop modern processes and workflows
- Ensures Sound provides a best-in-class clinician experience that offers efficient, high-quality, and seamless clinician credentialing
- Provides Tier 1 technical troubleshooting for Sound Practice Managers as related to clinician credentialing platform and features
- Monthly credentialing file audits to ensure controls and compliance guidelines are met in the clinician credentialing process
- Supports the practices in their portfolio to ensure inbound clinicians are supported in the clinician credentialing process
- Builds and maintains strategic relationships with practice leaders in their portfolio to ensure the clinician credentialing process is current, compliant, and working as designed to help minimize/mitigate any delays in clinicians’ anticipated start date.
Requirements
- Bachelor’s degree in business administration, or related field of study and/or 4 years of experience in related field accepted
- 2+ years experience in the health services industry with direct involvement in obtaining medical licenses, hospital privileging, or working in a Medical Staff Office or Verification services
- Thorough knowledge of complete clinician credentialing process to include risk assessments, and process and procedures for state licensure, primary source verifications, hospital privileging, and payer enrollment
- Proficiency in Microsoft 365 suite
- Analytical skills in validating data as well as quickly performing ad hoc analysis.
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- Health care and dependent care flexible spending account
- 401(k) retirement savings plan with a company match
- Self-managed PTO Plan OR Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with Sound's PTO policy
- Ten company-paid holidays per year
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinician credentialingrisk assessmentsprimary source verificationshospital privilegingpayer enrollmentdata validationad hoc analysis
Soft Skills
interpersonal skillsguidanceinnovationrelationship buildingproblem-solving
Certifications
Bachelor’s degree in business administration