Somnia Inc.

Credentialing Specialist

Job Locations US
ID
2022-1728
Category
Corporate
Type
Full-Time

Overview

The primary functions of the Credentialing Coordinator will be to provide support to the Clinical Affairs dept. with activities including, but not limited to: clinician onboarding, background review, credentials maintenance, peer review coordination, and Joint Commission Audits.

 

 

Responsibilities

  • Follow, facilitate, and maintain credentialing processes for new and existing staff
  • Utilize credentialing databases to provide support and promote effectiveness and efficiency
  • Perform pre-application dissemination process including frequent follow up
  • Prepare and produce credentialing documentation/correspondence to clients and clinicians
  • Perform regular and routine follow-up with clients on the status of clinician privileges
  • Assist clinicians with completion of facility privileging, malpractice, licensing, and/or DEA applications as necessary
  • Remain current with our credentialing and managed care processes, that of our clients, malpractice carriers,
  • Ensure all applications, credentials, and supporting documents as required by the client are submitted for timely credentialing and in line with key onboarding checkpoints i.e. managed care, HR, facility clearance, orientation requirements, etc.
  • Ensure that all relevant clinician credentials are current and active, and secure evidence for our files and client files
  • Review completed background check screening documentation and submit for final approval
  • Manage the expiring credentials process and perform follow up as needed
  • Obtain client feedback where applicable, in conjunction with re-appointment timeframes
  • Prepare documentation needed for monthly reappointment review meetings
  • Collaboration and coordination of peer (chart) review and onsite professional performance evaluations (OPPEs) with clinical leadership where applicable; coordinate follow up and/or consultation when appropriate
  • Disseminate completed peer review and onsite performance eval results to ambulatory clinicians and clients by email, where/if applicable
  • Perform quarterly Joint Commission Audits and maintain relevant master tracking sheets
  • Prepare for, and participate in, bi-annual Joint Commission recertification inspections
  • Maintain strong, reliable relationships with internal and external partners, e. other depts. within the company, client staff, clinicians, locum agencies, etc.
  • Participate in periodic departmental, operations, and/or other meetings
  • Perform other relevant tasks and projects as requested

 

Qualifications

  • Bachelor’s degree preferred or 2-5 years’ equivalent experience
  • Follow up initiatives crucial
  • Strong organizational skills
  • Strong interpersonal & communication skills (both written and verbal)
  • Strong computer skills

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