Credentialing Specialist - Physician Licensing (Hybrid)

Role Summary

This Credentialing Specialist - Physician Licensing position is responsible for individually contributing to the day-to-day processing of individual provider licensing needs and appropriate verifications, as well as the maintenance of provider licensure and certifications.

Responsibilities

• Interact professionally with state licensing boards, physicians, representatives, and internal teams
• Acts as a liaison between state medical boards and providers regarding licensure applications, licensure requirements, and updates on the status of applications
• Participates in the development of internal licensing processes
• On-boarding of new providers by collecting and organizing required credentials and documents necessary to apply for state licensure
• Requests and verify documentation and information pertaining to provider credentials and certifications for licensure
• Complete initial applications for state medical license and renewal applications; monitor applications and follow-up as needed
• Stay abreast of state licensure requirements
• Responsible for quality and integrity of provider files
• Ensure files are maintained according to and all applicable governing agencies and internal quality and security policies, to include both paper and electronic document management
• Maintain internal tracking reports and Echo Oneapp database
• Effectively manages high volume of applications for multiple providers simultaneously
• Maintains strict confidentiality of all provider files and department information
• Monitor upcoming state medical licensure renewal dates, advise providers of the required steps to maintain license, and manage the renewal process
• Assist providers with maintaining their American Board of Pathology certification ‚ÄúContinuing Certification Program‚Äù and New York ‚ÄúCertificate of Qualification‚Äù
• Maintain and track Continuing Medical Education (CME) for providers
• Initial enrollment and revalidation of provider Medicare
• Other duties as assigned

Qualifications

• Required: At least five years of work experience in Medical Staff Services or equivalent
• Required: Experience working in a high-volume environment
• Required: Strong knowledge of Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of Internet for business use
• Preferred: High School diploma or equivalent experience
• Preferred: Knowledge/experience with Echo OneApp Credentialing Database
• Preferred: Excellent oral and written communication skills
• Preferred: Ability to independently organize workload and manage multiple projects within deadlines
• Preferred: Effective team player with the ability to collaborate across internal departments and outside the organization to support clinical operations needs
• Preferred: Meticulous follow-through of delegated tasks, including follow-up with providers to ensure completion of applications, and meeting deadlines
• Preferred: Ability to work in a fast-paced, deadline-driven environment with personal accountability
• Preferred: Ability to handle confidential information professionally
• Preferred: Demonstrated task management, prioritization, attention to detail, and organizational skills
• Preferred: Teamwork ‚Äì commitment to achieving team and organizational goals

Skills

• Strong communication skills
• Confidentiality and integrity in handling provider information
• Detail-oriented with excellent organizational abilities
• Ability to manage multiple projects and deadlines
• Collaborative and cross-functional teamwork

Education

• Preferred: High School diploma or equivalent

Additional Requirements

• Must possess ability to sit and/or stand for long periods of time
• Must possess ability to perform repetitive motion
• Majority of work is performed in a desk/cubicle environment
• May require occasional overtime to meet deadlines