Job Description

Overview
A Credentialing Specialist’s role is to provide support to the locum tenens staffing team in a variety of capacities including, but not limited to: assisting with obtaining medical malpractice insurance approval, and assuring providers meet our Quality Assurance guidelines.

• Reference verifications - References must be able and qualified to assess the provider’s clinical competence, have had clinical contact (or directly worked) with the provider within the last 12 months). At least one of the references is the same education level or higher.
• Conduct Quality Assurance Reviews - Conducting license verifications, board certification verifications, SAM (System for Award Management) and OIG (Office of Inspector General) reports, verifying current certificate of insurance has been issued for assignment, verify provider is approved to work specialty required of the assignment.
• Provide Risk Analysis Assistance - Assist with medical malpractice eligibility reviews including reviewing provider documents, verifications of education, training, licenses, certifications, valid references, etc. Assist with the review and investigation of any malpractice claims and/or disciplinary actions against each candidate.

Desired Skills & Experience

• Timely and accurate turnaround on required paperwork and/or documentation.
• Ability to build strong provider and client relationships over the phone.
• Timely follow-up on all outstanding items.
• Consistent communication on progress with both Recruiters and Privileging Team.
• Superb customer service to internal and external customers.
• Flexible team player attitude and desire to grow professionally.

Why Consilium
At Consilium, we believe that your workplace environment matters and that a company can only truly succeed when it invests in the health, growth, and well-being of its employees. Moreover, we reinforce that sentiment with action: we are committed to providing our employees with extensive professional training and mentorship along with competitive compensation, a comprehensive benefits package, and a supportive work community. Perks of joining the Consilium team include:

• Competitive compensation with comprehensive benefits package, including 401k
• Extensive professional training and opportunities for advancement
• Opportunity to work with experts in the healthcare staffing industry
• Interactive, hands-on leadership team
• Casual attire on Fridays
• Company-supported commitment to community service
• Recreational office-wide events

Job Tags

Full time, Locum, Casual work, Work at office, Flexible hours,

Similar Jobs