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Credentials Coordinator

Role overview

Qualifications

  • Experience in credentialing and verification process
  • Strong communication and customer service skills
  • Ability to manage and organize documentation effectively
  • Knowledge of healthcare compliance and regulations

Responsibilities

  • Coordinates provider application and primary source verification process using CVO credentialing platform
  • Manages provider application process and resolves incomplete application information
  • Communicates with applicants and administrative support to resolve application requirements
  • Manages ongoing expirables and monitoring of provider credentials for contracted clients

Key facts

Other skills

  • Communication
  • Problem Solving
  • Teamwork
  • Professionalism
  • Time Management
  • Adaptability

About the company

HealthStream logo

HealthStream

Digital Health & Health Tech

HealthStream (NASDAQ: HSTM) is dedicated to improving patient outcomes through the development of healthcare organizations'​ greatest asset: their people. Our unified suite of solutions is contracted by, collectively, approximately 4.8 million healthcare employees in the U.S. for workforce development, training & learning management, talent management, credentialing, privileging, provider enrollment, performance assessment, and managing simulation-based education programs. Based in Nashville, Tennessee, HealthStream has additional offices in Brentwood, Tennessee; Jericho, New York; Boulder; Colorado; San Diego, California; and Chicago, Illinois. HealthStream Facebook: https://www.facebook.com/hstmhome/HealthStream Twitter: https://twitter.com/HealthStreamHealthStream Linktree: https://linktr.ee/HealthStream

Company details

IndustryDigital Health & Health Tech
Company size501 - 1000

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Job description

Company Overview
 

HealthStream is the leader in healthcare workforce solutions. We help organizations work better by helping their people work smarter.
 

HealthStream provides the leading learning, clinical development, credentialing, and scheduling applications delivered on healthcare’s #1 platform. We streamline everyday tasks while improving performance, engagement, and safety – fostering a workplace where people flourish, and care thrives.


 

Why Join Us

 

At HealthStream, you’ll have the opportunity to make a meaningful impact on the future of healthcare by collaborating with a team of talented professionals dedicated to innovation and excellence. We offer competitive compensation, comprehensive benefits, and a supportive work environment where creativity and collaboration thrive.

 

Our shared vision is to enhance the quality of healthcare by empowering the people who deliver care – a commitment we have upheld for over 30 years through providing innovative solutions and driving constant growth. Join us in revolutionizing the healthcare industry and shaping the future of patient care. As a HealthStreamer, you will be at the forefront of healthcare technology innovation, making a recurring impact on the industry.

 

 

We’re proud of our values-forward culture that offers our people:
 

  • Mission-oriented work
  • Diverse and inclusive culture
  • Competitive Compensation & Bonuses
  • Comprehensive Insurance Plans
  • Mental and Physical Health Support
  • Work-from-home flexibility
  • Fitness Center Reimbursements
  • Streaming Good time off for volunteering
  • Wellness workshops
  • Buddy Program for new HealthStreamers
  • Collaborative work environment
  • Career growth opportunities
  • Continuous learning opportunities
  • Inspiring workspaces to collaborate and connect with other HealthStreamers
  • Free employee parking at our Resource Centers in Nashville and San Diego

 

 

At HealthStream, our thriving culture encourages collaboration and values contributions, allowing our team members to continuously solve big problems and grow. We offer flexibility and paid time off to support work-life integration for all employees, including a hybrid work environment and Streaming Good volunteer day. For team members in commutable distance, HealthStream has Resource Centers in Nashville, TN and San Diego, CA. Our resource centers provide an inspiring workspace to collaborate and recharge as well as company-sponsored onsite social events for development, connection, and celebration.

 

We are committed to driving innovation in healthcare and ensuring that patients receive competent care from qualified professionals. As a HealthStream team member, you will help bring this vision to life. If you want to work for a company committed to its values and vision, HealthStream is the place for you!

 

HealthStream is an equal opportunity employer. HealthStream prohibits employment practices that discriminate against individual employees or groups of employees on the basis of age, color, disability, national origin, race, religion, sex, sexual orientation, pregnancy, veteran or military status, genetic information or any other category deemed protected by state and/or federal law.

 

 

 

Position Information

 

 

Position Overview

Supports the CVO’s application process, credentialing verification, expirable management and ongoing monitoring work for contracted healthcare organizations.  Ensures clients and providers have a positive experience by providing quality service and communication. 

 

Key Responsibilities

You will be responsible for adhering to all HealthStream security policies, procedures, and assigned training.

  • Coordinates provider application and primary source verification process using CVO credentialing platform. 
  • Manages provider application process including sending electronic applications to providers per client requests, evaluating the received application for completeness, resolving incomplete application information, accepting information into credentialing platform following CVO policies and procedures.
  • Communicates with applicants and designated administrative support to resolve application requirements and incomplete data in a professional manner.
  • Manages primary source verifications for provider applications including ensuring the verification of credentialing information from the provider’s application is correct and from primary sources, tracking fees for verifications, following up on non-received verifications needed to close files, and tracks information following CVO policies and procedures. 
  • Communicates professionally with applicants, designated administrative support and primary source organizations on verification discrepancies, information needs and requirements.
  • Manages ongoing expirables for providers primary state license, board certification, DEA/CDS and malpractice insurance for contracted clients.
  • Manages ongoing monitoring of sanctions for contracted clients for state licenses, Medicare and Medicaid and Medicare Opt-Out.  Provides a monthly report of outcomes.
  • Stays informed on all client criteria requirements to ensure requirements are applied to files through the application and verification process.
  • Communicates with providers and client questions and concerns regarding a variety of issues related to the processing of credentialing applications.
  • Tracks and obtains fee verifications; follows department policies and procedures standards for check requests and credit card usage.
  • Supports the billing process for verification services.
  • Maintains and updates the database reference tables in accordance with internal policies and procedures with current contact information following data standardization protocols.
  • Maintains own professional growth through participation in seminars, conferences, in-service programs and self-directed learning activities
  • Contributes to the team efficiency by providing support both operationally and administratively.
  • Assists with special projects and tasks as requested

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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