Credentialing Consultant

Job not on LinkedIn

🔥 18 minutes ago

🇺🇸 United States – Remote

💵 $55k - $70k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💼 Consultant

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Sound Physicians

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2001

🤝 B2B

B2B

Sound Physicians is a physician-led healthcare services company that partners with hospitals and health systems to deliver specialty clinical programs including emergency medicine, hospital medicine, critical care (including tele-ICU), anesthesia, and accountable care for long-term and assisted living settings. The company combines clinical leadership, operational optimization, and revenue-cycle support to improve patient outcomes, stabilize hospital operations, and maximize financial performance through tailored, on-site and virtual care models.

📋 Description

• Collaborate with the Practice Managers, Staffing Account Managers, and other internal Sound Physicians stakeholders to support our clinician credentialing workflows. • Maintain current knowledge and documentation of specific processes and nuances in the portfolio they support. • Provide guidance and answer questions related to clinician credentialing. • Improve and develop modern processes and workflows, ensuring a best-in-class clinician experience. • Provide Tier 1 technical troubleshooting for Sound Practice Managers related to clinician credentialing platform. • Manage credentialing platform’s role-based access, communication, and training to Practice Managers in their portfolio. • Conduct monthly credentialing file audits to ensure controls and compliance guidelines are met in the clinician credentialing process. • Utilize data, analytics, and reporting to support practice leader stakeholders and drive decision making.

🎯 Requirements

• Bachelor’s degree in Business Administration, Health Administration, Healthcare Management, or a related field of study; or a minimum of 4+ years of directly related experience in lieu of degree • 4+ years experience in the health services industry with direct involvement in obtaining medical licenses, hospital privileging, or working in a Medical Staff Office or Verification services. • Thorough knowledge of complete clinician credentialing process to include risk assessments, and process and procedures for state licensure, primary source verifications, hospital privileging, and payer enrollment. • Proficiency in Microsoft 365 suite. • Analytical skills in validating data as well as quickly performing ad hoc analysis.

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Health care and dependent care flexible spending account • 401(k) retirement savings plan with a company match • Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with Sound's PTO policy • Ten company-paid holidays per year