Job description
Credentialing Specialist
At GiaMed, we specialize in staffing healthcare professionals at Brooke Army Medical Center in San Antonio, Texas. Our mission is one of giving back to those who have given so much for us and our country, and we are honored to be one of the largest government contractors that services the San Antonio Military Health System (SAMHS). Our corporate team has an immediate opening to hire an experienced Credentialing Specialist to help us deliver excellent customer service, while performing their daily responsibilities.
JOB SUMMARY:
This is a highly interactive position that requires the ability to work independently and with a team in a time -sensitive environment. This position requires an employee that is organized and capable of juggling multiple projects at one time. The Credentialing Specialist will be responsible for all aspects of contract assignments, credentialing, and re-credentialing processes for all Civilian Registered Nurses. Responsible for gathering, and verifying evaluating highly confidential and sensitive health care credentials consistent with departmental guidelines and accreditation standards. Maintains an optimistic and positive approach to the work and team members.
RESPONSIBILITIES:
- Efficiently perform all aspects of credentialing verification, including initial credentialing and recredentialing to ensure current credentials and timely handoff and/or review and approval of Civilian Registered Nurse files
- Serves as the point of contact and liaison to providers, operations, regulators, and leadership on credentialing -related matters.
- Maintains copies of current state licenses, certificates, and any other required credentialing documents. Tracks expirations to ensure timely renewals.
- Updates and maintains credentialing database housing provider data and documentation. Regularly conducts audits of the database and other related files to ensure current and accurate data.
- Coordinates and facilitates the credentialing process for appointment and reappointment of provider privileges to system practices, hospitals and related facilities.
- Able to communicate clearly and concisely, both verbally and in written correspondence
- Able to work well under tight deadlines and respond to rapidly changing demands and provide efficient follow up
- Capable and comfortable dealing with sensitive and confidential information with discretion and trust
- Reviews credentialing applications for accuracy and completeness to verify provider meets credentialing criteria
- Monitors application progress and submission deadlines for credentialing or re-credentialing. Conducts follow-up to obtain required documentation, resolve identified issues, ensure timely processing, and communicate updates as needed
- Actively participate in team meetings and process improvement initiatives to continuously improve work product quality and efficiency
- Responds to external inquiries according to policy and procedure, escalating inquiries as necessary.
- Other duties or special projects as assigned
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QUALIFICATIONS: *
- Minimum of two years of healthcare credentialing. (Experience with HireRight, ADP, CIRIX-Share file, Relias is a plus.)
- Self-motivated with the ability to work in a fast-moving environment
- Excellent time management and working with deadlines
- Ability to multi-task and adapt to changes quickly
- Analytical and detail orient
- Strong organizational skill
- Excellent Interpersonal skills: such as communication skills, active listening, and customer-care, including strong ability to write, edit and proofread
- Competency with day-to-day use of computers, especially Microsoft Office
For immediate consideration email resumes to: recruiters@giamedjv.com
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Job Type: Full-time
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