Credentialing Specialist
4 weeks ago
Thiruvananthapuram, Kerala, India
Altaa Vistaa Business Solutions Pvt Ltd - AVPL
Full time
Position SummaryThe
Credentialing Specialist
performs physician and advanced provider credentialing, including but not limited to
initial credentialing, recredentialing, and ongoing monitoring .
Role/Title:
Credentialing Specialist
Working Hours:
4:30 PM to 1:30 PM IST
Location : Remote
Working Days:
Monday to Friday
Essential Duties and Responsibilities
Essential Job Functions :
The following are representative examples of job duties that might be performed in this position. Since Company is a dynamic organization, roles and responsibilities may be altered to adapt to changing business needs. Employees may be asked to perform duties outside the listed responsibilities as long as they align with the job description.
Vitans are expected to:
Comply with all applicable regulations, policies, and procedures.
Monitor team adherence to these standards (for supervisory roles).
Promptly report any suspected compliance violations.
Complete all required compliance training to uphold ethical and legal standards.
Credentialing (100%):
Prepare credentialing, recredentialing, and telemedicine privileging files , including the
collection, verification, and assessment
of credentialing information per Vituity policies. Track progress in the Salesforce Credentialing database.
Identify and escalate
"red flag"
items to the department manager for action.
Assist in preparing
provider credentialing files
for review and approval.
Maintain
current credentials data
for all Physicians and Advanced Providers. Send reminders, update databases, and share updated credentials with external parties (e.g., managed care organizations, medical staff offices).
Provide
customer service and credentialing support , including obtaining copies of credentials, generating profiles, and completing paperwork as needed.
Follow up to ensure all required
paperwork and credential copies
are obtained.
Scan all provider/employee/contractor documents into electronic files.
Update and organize electronic files
as needed.
Provide
support for onboarding, hospital credentialing, and medical licensure efforts
when required.
Competencies (Knowledge/Skills/Abilities):
Strong
relationship-building skills
to maintain effective working relationships.
Ability to
communicate effectively
both
verbally and in writing .
Excellent time management : Ability to
multi-task, prioritize , and
meet deadlines
in a fast-paced environment.
Proficiency in Microsoft Office Suite
(Excel, Outlook, PowerPoint, Word).
Strong attention to detail, organizational, and analytical skills .
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