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Credentialing Analyst, Labor Disruption

Role overview

Qualifications

  • High School diploma or equivalent
  • 4 years customer service experience or equivalent combination of education and experience
  • 1 to 3 years previous experience in hospital setting

Responsibilities

  • Review healthcare providers’ submitted requirements to determine document status
  • Communicate timely updates of HP document status with internal stakeholders
  • Create urgency with healthcare providers to encourage timely document submission
  • Coordinate response to assigned client regulatory audits and other requests

Key facts

Other skills

  • Customer Service
  • Communication
  • Research
  • Negotiation
  • Accountability

About the company

AMN Healthcare logo

AMN Healthcare

Healthcare Staffing & Locum Tenens

AMN Healthcare is the leader and innovator in total talent solutions for healthcare organizations across the nation. The Company provides access to the most comprehensive network of quality healthcare professionals through its innovative recruitment strategies and breadth of career opportunities. With insights and expertise, AMN Healthcare helps providers optimize their workforce to successfully reduce complexity, increase efficiency and improve patient outcomes. AMN total talent solutions include managed services programs, clinical and interim healthcare leaders, temporary staffing, executive search solutions, vendor management systems, recruitment process outsourcing, predictive modeling, language interpretation services, revenue cycle solutions, credentialing and other services. Clients include acute-care hospitals, community health centers and clinics, physician practice groups, retail and urgent care centers, home health facilities, schools and many other healthcare settings. AMN Healthcare is committed to fostering and maintaining a diverse team that reflects the communities we serve. Our commitment to the inclusion of many different backgrounds, experiences and perspectives enables our innovation and leadership in the healthcare services industry. For more information about AMN Healthcare, visit  www.amnhealthcare.com

Company details

Company typeLarge
IndustryHealthcare Staffing & Locum Tenens
Company size1001 - 5000

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Job description

Job Description

This position is a temporary assignment for project support. Duration can be anywhere from 4 to 8 weeks, possibly longer based on client needs. Must be open to remote and onsite support that requires travel. Hours will vary depending on volume.

The Credentialing Analyst (Temporary) will maintain high standards of accountability and operate on the principles of a High-Reliability Organization in an effort to achieve safety, quality, and efficiency goals. This individual acquires and maintains relevant compliance documentation for Healthcare Provider candidates on assignment with client facilities by partnering with internal sales and clinical teams, creating urgency with candidates and reinforcing Joint Commission, federal, state and AMN mandates in order to achieve compliance for on-time start date ultimately impacting fill rate, market share and revenue.

Job Tasks: 

  • Review healthcare providers’ submitted requirements including licensure, certifications, screens and other critical documents using the data platform system to determine healthcare provider (HP) document status versus requirements needed for specific assignment in order to pursue outstanding requirements.

  • Communicate timely updates of HP document status with all internal stakeholders via the data platform system, email, phone, etc. to facilitate a team approach to gathering all required documents.

  • Create urgency with healthcare providers via email and phone, to encourage timely and accurate document submission by establishing target dates and monitoring document submission progress in order to deliver comprehensive documentation to the client facility for an on-time assignment start date.

  • Coordinate response to assigned client regulatory audits, TJC/TWSM/NCQA documentation, and other requests by client facilities by completing the requests with accuracy and within the established/provided timelines.

  • Coordinate with 3rd party vendors to determine appropriate dates, times, and locations for HP candidates to complete necessary compliance steps including drug screens, background checks, immunizations, etc.

  • Facilitate quick book (QB) process for assigned facilities by taking lead role to collaborate with Account Managers, Recruiters, and the Housing department in order to determine reasonable start dates.

  • Collaborate with Contracts Credentialing Analyst to review all incoming new client contracts or contract revisions for Credentialing requirements, for assigned facilities in order to identify unique requirements.

  • Negotiate with client facility to reconsider unusual or uncustomary requirements by emphasizing the value and experience of Quality Services Department with client facilities in order to minimize disruption of placements and optimize fill rate.

  • Consult clients on Credentialing best practices by making recommendations on requirements expectations and realistic start dates to streamline submission and placement processes in order to increase fill rate of qualified HPs.

  • Maintain up-to-date and accurate facility database including updated contact information, new requirements, and client correspondence by following up regularly with clients in order to optimize service coverage and prevent gaps in service delivery.

  • Research new requirements (by The Joint Commission, OSHA, and others) that may impact the industry in order to present proposals to leadership that clarify appropriate action plans that will address the requirements with the least resources and expense.

Education, Certifications & Experience:

Minimum Education/Certifications: 

  • High School diploma or equivalent

Preferred Education/Certifications:

  • College degree, or equivalent combination of education & experience

Minimum Experience: 

  • 4 years customer service experience or equivalent combination of education and experience

Preferred Experience

  • 1 to 3 years previous experience in hospital setting

Respect ● Passion ● Continuous Improvement ● Trust ● Customer Focus ● Innovation    

AMN Healthcare is an EEO/AA/Disability/Protected Veteran Employer

We encourage minority and female applicants to apply

AMN Healthcare is committed to fostering and maintaining a diverse team that reflects the communities we serve. Our commitment to the inclusion of many different backgrounds, experiences and perspectives enables our innovation and leadership in the healthcare services industry.


We value professionalism in everything we do – this includes the professional presence we project as we interact with internal and external customers.

$22.00 - $26.00 hourly

Pay Rate

Final pay rate is dependent on experience, training, education, and location.

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MR

Marcus Rivera

Chief Revenue Officer

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