Senior Privileging and Credentialing Specialist

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🔥 19 minutes ago

🇺🇸 United States – Remote

💵 $68k - $83k / year

⏰ Full Time

🟠 Senior

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Aya Healthcare

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2001

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Aya Healthcare is a prominent provider of healthcare staffing services, connecting healthcare professionals such as nurses and allied health workers with healthcare facilities across the United States. They offer travel nursing, per diem, and permanent placement services, ensuring that hospitals and healthcare systems have the necessary staff to provide high-quality patient care. Aya Healthcare focuses on improving the staffing industry through innovative technology and exceptional customer service.

📋 Description

• Manage the end-to-end privileging and credentialing process for locum tenens physicians and advanced practice providers, ensuring compliance with client facility and Aya Locums requirements. • Review provider applications, CVs, and supporting documentation for completeness, accuracy, and potential privileging risks. • Prepare, submit, and track hospital privileging applications, proactively driving files to approval while meeting targeted start dates. • Partner with providers, medical staff offices, clients, and internal teams to obtain required documentation and resolve outstanding items. • Conduct and review primary source verifications and compliance requirements, including licensure, board certification, malpractice, and exclusion screenings. • Monitor expiring licenses, certifications, privileges, and other time-sensitive documents to ensure ongoing compliance. • Facilitates provider payer enrollment for clients by coordinating enrollment activities, monitoring application progress, and supporting timely payer approvals. • Maintain accurate provider records and documentation within credentialing and compliance systems. • Identify, troubleshoot, and escalate complex privileging issues while delivering exceptional customer service to internal and external stakeholders.

🎯 Requirements

• 2+ years of direct locum tenens privileging / credentialing experience across multiple specialties and healthcare systems required; 3+ years preferred. • Bachelor's degree preferred; equivalent experience considered in lieu of education. • Experience within a fast-paced, deadline-driven locum tenens, healthcare staffing, or managed service provider (MSP) environment. • Experience working with hospital medical staff offices, credentialing departments, and healthcare facilities. • Knowledge of Joint Commission, NCQA, payer enrollment, and medical staff office standards. • Experience managing physician and advanced practice provider privileging files from application through approval. • Ability to manage a high-volume workload while meeting deadlines and service level expectations. • Strong attention to detail, organizational skills, and ability to identify and resolve issues proactively. • Excellent communication and relationship-building skills with providers, clients, and internal stakeholders. • Proficiency with Microsoft Office Suite and credentialing/compliance systems.

🏖️ Benefits

• Free premium medical, dental, life and vision insurance • Generous 401(k) match • Aya also offers other benefits to those that are eligible and where required by applicable law, including reimbursements and discretionary bonuses • Aya provides paid sick leave in accordance with all applicable state, federal, and local laws. Aya’s general sick leave policy is that employees accrue one hour of paid sick leave for every 30 hours worked. However, to the extent any provisions of the statement above conflict with any applicable paid sick leave laws, the applicable paid sick leave laws are controlling • Celebrations! We hit our goals and reward ourselves • Company-sponsored virtual events, happy hours and team-building activities are always on the horizon — plus, you get a special treat on your birthday! • Unlimited DTO — we believe in time off! • Virtual yoga, meditation or boot camp classes offered daily