Facility Credentialing Specialist III

Title: Facility Credentialing Specialist III – REMOTE

Location: USA

Job Description:

Overview

US Anesthesia Partners (USAP) is currently seeking a Credentialing Coordinator to join our team, remotely. Maintains accurate records of providers’ credentials. Processes providers’ applications for privileges and reappointments and monitors licensure renewal activity for Physicians, CRNA’s, APN’s, and PA’s.

Job Highlights

ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):

• Processes initial applications and reappointments for hospitals, surgical centers and managed care entities for assigned divisions.
• Maintains complete file of provider’s licensure and credentials. Monitors renewals of licensure and forwards copies of licensure to facilities as renewals are received.
• Maintains and updates credentialing database, inclusive of demographic and licensure information.
• Maintains and updates continuing medical education/ACLS credits and other training requirements.
• Maintains and updates curriculum vitae/profiles for each provider.
• Maintains correspondence files and credentialing archival files.
• Performs other credentialing duties as requested.
• Adhere to all company policies and procedures.
• Perform other duties as assigned.

Qualifications

JOB REQUIREMENTS (Knowledge, Skills and Abilities):

• Knowledge of organization’s policies, procedures and systems.
• Skilled in computer applications including MS Word, MS Excel, database administration and scanning applications.
• Knowledge of NCQA and/or JCAHO Accreditation standards.
• Skilled in verbal and written communications.
• Knowledgeable in Federal and State Regulation on Confidentiality; and Peer Review Guidelines.
• Ability to work effectively with staff, physicians and external customers.
• Ability to work independently with limited supervision.
• Communicate well with the public

EDUCATION/TRAINING/EXPERIENCE:

• High School graduate or equivalent. A.S. or B.S. degree in business administration or health care related field preferred.
• CPMSC/CPCS Certification preferred.
• Five years minimum experience in Credentialing

US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.

Job ID2024-14872

FunctionRevenue Cycle Management

LocationUS-Remote

Employment StatusFull Time