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Clinician Verification Agent (Project Based)

Key Facts

Remote From: 
Full time
English

Other Skills

  • •
    Internet Research
  • •
    Record Keeping
  • •
    Incident Reporting
  • •
    Microsoft Office
  • •
    Professionalism
  • •
    Non-Verbal Communication
  • •
    Client Confidentiality
  • •
    Time Management
  • •
    Teamwork
  • •
    Trustworthiness
  • •
    Customer Service
  • •
    Organizational Skills
  • •
    Detail Oriented

Roles & Responsibilities

  • Previous experience in credentialing, compliance, or related roles (preferred in healthcare or behavioral health).
  • Knowledge of state licensing requirements for behavioral health professionals (e.g., social workers, counselors, psychologists).
  • Strong written and verbal communication skills, and exceptional attention to detail and organizational abilities.
  • Ability to work independently, manage multiple tasks with competing deadlines, and proficiency with Microsoft Office and database management systems.

Requirements:

  • License verification and eligibility: Review and verify state-issued licenses and credentials of new and existing clinicians, ensuring professionals meet requirements to accept referrals in licensed states.
  • Data entry and records management: Accurately document verification outcomes, maintain HIPAA-compliant records, and update clinician profiles to reflect verified status promptly.
  • Compliance monitoring and clinician support: Monitor and report discrepancies or unethical conduct, and clarify licensing requirements and standards to clinicians.
  • Collaboration and communication: Collaborate with the clinical team to resolve verification issues and provide courteous, professional support throughout the verification process.

Job description

Key Responsibilities

License Verification: 

  • Review and verify state-issued licenses and credentials of new and existing clinicians using relevant state boards. 
  • Ensure all professionals meet the requirements to accept referrals in their licensed states. 

Data Entry and Documentation: 

  • Accurately document verification outcomes and maintain records in compliance with HIPAA standards. 
  • Update clinician profiles to reflect verified status promptly. 

Compliance Oversight: 

  • Monitor and report any discrepancies or unethical conduct in user profiles. 
  • Support clinicians by clarifying licensing requirements and standards.

Communication and Support:

  • Collaborate with the clinical team to resolve any verification issues.
  • Provide courteous, professional support to clinicians throughout the verification process. 

Requirements

Education and Experience: 

  • Previous experience in credentialing, compliance, or related roles (preferred in healthcare or behavioral health). 
  • Knowledge of state licensing requirements for behavioral health professionals (e.g., social workers, counselors, psychologists). 

Skills: 

  • Review and interpret licensing regulations, statutes, and guidance documents to ensure compliance with applicable standards.
  • Ability to work independently and manage multiple tasks with competing deadlines. 
  • Exceptional attention to detail and organizational skills. 
  • Strong written and verbal communication. 
  • Strong proficiency in online research and information retrieval;  familiarity with advanced search techniques is a plus. 
  • Proficient in Microsoft Office and familiarity with database management systems. 

Values and Attributes: 

  • Alignment with principles of trust, integrity, and patient-centric care. 
  • Ability to handle sensitive information with discretion and professionalism. 

Benefits

  • A laptop will be provided by the company
  • Night Differential
  • NIGHT SHIFT
  • WORK FROM HOME
  • PHP 32,000 to 36,500

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