Credentialing Specialist (Remote)

NOW HIRING

CREDENTIALING SPECIALIST

ABOUT US

Blue Cloud is the largest pediatric Ambulatory Surgery Center (ASC) company in the country, specializing in dental restorative and exodontia surgery for pediatric and special needs patients delivered under general anesthesia. We are a mission-driven company with an emphasis on providing safe, quality, and accessible care, at reduced costs to families and payors.

OUR VISION & VALUES

At Blue Cloud, it's our vision to be the leader in safety and quality for
pediatric dental patients treated in a surgery center environment. Our core values drive the decisions of our talented team every day and serve as a guiding direction toward that vision.

• We cheerfully work hard
• We are individually empathetic
• We keep our commitments

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Responsible for working with new providers and existing providers to collect all required information during the initial on-boarding and re-credentialing process.
2. Screen provider applications and supporting documentation to ascertain their eligibility
3. Identify discrepancies in information and conduct follow-up
4. Provide consistent and timely follow-up on all outstanding credentialing/re-credentialing files as well as expiring documents.
5. Completes primary and secondary source verifications.
6. Accurately enters and maintains provider and facility information in credentialing software.
7. Assist with credentialing inquires.
8. Assist providers with obtaining licenses.
9. Ensure compliance with applicable laws, regulations, procedures and policies.
10. Track license and certification expirations for all providers to ensure timely renewals
11. Creates and Maintains provider and facility files electronically and ensures files contain all current copies of all expirable documents.

Competency

1. Knowledge and understanding of the credentialing process.
2. Ability to organize and prioritize work and manage multiple priorities
3. Attention to detail
4. Demonstrate accuracy, organizational and problem-solving skills
5. Excellent verbal and written communication skills
6. Ability to work independently
7. Ability to multitask and prioritize work activities
8. Maintains confidentiality

Work Environment

This is a remote position. Must have designated office area.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.

The employee is occasionally required to sit, climb, balance, stoop, kneel, crouch or crawl. The employee must frequently lift and move up to 10 pounds and occasionally lift and move objects up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Position Type/Expected Hours of Work

This is a full-time position. Days and hours of work are Monday through Friday, 8:30 a.m. to 5:00 p.m.

Travel

No travel is expected for this position.

Required Education and Experience

• High school diploma, GED, or suitable equivalent
• Proficient in Microsoft Office - including Microsoft Word & Excel
• Familiar with Internet
• Knowledge of medical credentialing and privileging procedures and standards
• Knowledge of accreditation standards a plus
• Experience with credentialing software a plus

Preferred Education and Experience

• Minimum 3 years of experience

BENEFITS

• Work with a passionate, dedicated, and talented team in a growing organization committed to doing good
• Health insurance, Flexible Spending and Health Savings Accounts, disability coverage and additional voluntary plans
• 401k plan, including company match
• Paid Time Off
• No on call, no holidays, no weekends
• Remote Opportunity - AZ, ID, TN, MO, TX, MD, CO, FL, PA

Work Location: Remote (Not eligible for CA employees)

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.