Job details

Credentialing Liaison Specialist

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Overview:

The Credentialing Liaison Specialist plays a vital role in supporting the credentialing and re-credentialing processes for both W2 and 1099 healthcare providers. This position is instrumental in ensuring that all providers meet the organization’s compliance standards and regulatory requirements. Initial responsibilities will focus on documentation collection and verification, application processing, NPDB checks, and maintaining accurate provider records.

Key Responsibilities

1. Welcome Letters (W2):

Review provider files for certificates, licenses, and immunizations
Prepare and send welcome letters ensuring accuracy and a warm introduction
Maintain an organized database of initial credentialing information

2. References:

Send reference forms for all placed W2 and 1099 candidates, including Pine Ridge and Rosebud sites
Collect, review, and verify references for completeness
Follow up on outstanding references every 48 hours via phone
Support re-credentialing processes by sending and tracking required reference forms

3. Application Processing:

Prefill hospital applications for new hires and reappointments
Ensure all required documents are completed accurately
Maintain up-to-date provider files
Coordinate with internal departments to address outstanding requirements
Assist credentialing team members as needed

4. National Practitioner Data Bank (NPDB) Checks:

Conduct NPDB checks for initial and re-credentialing candidates
Document and report findings, discrepancies, or adverse actions

5. Case Logs:

Request, collect, and review case logs from facilities
Ensure compliance with hospital and regulatory standards
Maintain accurate records and follow up on missing data

6. Hospital Verifications:

Perform primary source verifications for credentials, privileges, and work history
Track and document all verification activities

7. Documentation Management:

Organize and securely store credentialing documents digitally
Follow naming conventions to facilitate easy retrieval and audit readiness

8. Audit Preparation and Support:

Prepare credentialing files for internal and external audits
Resolve discrepancies and ensure files are complete and compliant

9. Empower Reappointment and Document Management:

Provide support for reappointment cycles and ensure updated documentation is properly maintained

Skills and Competencies

Attention to Detail:
High accuracy in documentation, applications, and reference reviews
Organizational Skills:
Efficient multitasking and time management to meet deadlines
Communication:
Strong written and verbal skills for coordination and follow-ups
Problem Solving:
Proactive in resolving discrepancies and handling incomplete documentation
Confidentiality and Integrity:
Handles sensitive information with discretion and professionalism
Adaptability:
Ability to adjust to evolving processes in a fast-paced environment
Team Collaboration:
Works well with Credentialing Specialists and cross-functional teams
Compliance Knowledge:
Foundational understanding of healthcare regulations and standards
Dependability:
Consistent, reliable, and committed to quality and timely deliverables

This is a 100% Remote Work

Full time

Night shift

$5/hr

Average salary estimate

$10400 / YEARLY (est.)

min

max

$10400K

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What You Should Know About Credentialing Liaison Specialist, Remote Raven

The Credentialing Liaison Specialist is a crucial position at our organization, working diligently to support both W2 and 1099 healthcare providers in the credentialing and re-credentialing processes. With a fully remote setup, this position shines a spotlight on exceptional organization, communication, and attention to detail. Your day-to-day responsibilities will revolve around gathering necessary documentation, verifying applications, and conducting National Practitioner Data Bank checks, ensuring that all our providers meet compliance standards and regulatory requirements. You’ll be responsible for crafting and sending welcome letters to new providers, maintaining an organized database, and managing reference requests for both W2 and 1099 candidates. Collaborating closely with the credentialing team, you'll assist with processing applications and keeping provider files up-to-date. As discrepancies arise, your problem-solving skills will come into play as you address issues efficiently, ensuring our records are impeccable. With audit preparations on your plate, your meticulous nature will help us stay compliant and ready for any assessments. If you pride yourself on your ability to handle sensitive information with integrity and professionalism while thriving in a fast-paced environment, this full-time night shift position at our organization is waiting for you!

Frequently Asked Questions (FAQs) for Credentialing Liaison Specialist Role at Remote Raven

What are the main responsibilities of a Credentialing Liaison Specialist at our organization?

The Credentialing Liaison Specialist at our organization is responsible for a variety of tasks, including collecting and verifying documentation, processing applications, conducting NPDB checks, and maintaining comprehensive provider records. This role also involves preparing welcome letters, handling references for both W2 and 1099 candidates, and supporting audit preparations, ensuring all compliance standards are met.