Credentialing Specialist

Position summary:  The Credentialing Specialist provides a critical interface between candidates, clients, and the organization.  This position is required to complete various assigned tasks and ad hoc projects to support the company.

Qualifications required: 

• High School Diploma or equivalent
• Two (2) years of office experience

Qualifications desired:

• Bachelor’s degree in Business, Human Resources, or related discipline
• Prior experience in physician credentialing
• Prior experience in a healthcare, staffing, or human resources environment
• Prior work experience in a customer service industry

Essential functions and responsibilities:

• Processes requests for state licensure, hospital privileges, insurance payer credentialing and any additional credentialing-related requests
• Conducts screenings including background check and primary source verification of applicants’ files
• Identifies and reports credentialing red flags proactively
• Demonstrates understanding of all education requirements, certifications, verification sources, and compliance elements
• Prepares credentials files for completion and presentation to VitalSolution contracted hospitals
• Assists when needed with the compliance expiration process for all field staff
• Evaluates physician demeanor and responsiveness during credentialing process and escalates concerns appropriately
• Initiates, coordinates, and maintains communication with travelers and internal teams regarding file status
• Performs additional duties as requested by management

Success factors/job competencies:

• Commitment to organizational core values: Integrity, Compassion and Excellence
• Strong computer skills and advanced proficiency in MS Office applications; including Outlook, Word, Excel and PowerPoint
• Excellent organization, prioritization and problem-solving skills
• Capacity to work independently and manage workload effectively to meet set deadlines
• Ability to recognize and protect confidential information
• Demonstrates strong interpersonal skills within a service environment
• Exercises accuracy and attention to detail, as well as discretion
• Self-sufficient, strong time management, and multitasking skills
• Proactive, communicative and team-oriented

Physical demands and work environment:

• Must have use of sensory skills in order to effectively communicate and interact with other employees and the public through use of the telephone and face to face contact
• Must have the capability to effectively use and operate various items of office related equipment such as but not limited to the computer, calculator, copier and fax machine
• Must be able to sit for long periods of time with low periods of reaching and standing

Reservation of rights:  Essential functions contained within this job description are listed above; they are subject to change at any time with or without notice due to reasonable accommodation or other reasons set forth by management.  

VitalSolution is an Equal Opportunity Employer

Compensation Range

Benefits include: health, dental, vision, FSA/HSA, company-paid life insurance, 401K with discretionary match, paid time off, paid parental leave, and tuition reimbursement.