Provider Relations Specialist

Description:

Job Summary :

In-person position only*. Not remote. Note hybrid. Some travel may be requested at IEP's discretion and will be paid for/reimbursed.

*Candidates living within a practical commute of Farmington Hills, MI will be considered.

This is a brand new position offering the incumbent a great opportunity for growth!
The Onboarding (credentialing) Specialist plays a critical role in supporting the Human Resources department by assisting with billing, coding, collections, and documentation. This role includes managing the hospital and billing credentialing process for new hires, ensuring that all necessary credentialing and licensing documents are submitted, verified, and processed accurately. The Credentialing Specialist ensures that new providers are properly credentialed and compliant with hospital and billing policies and regulatory requirements, facilitating smooth onboarding and uninterrupted claims processing.

Key Responsibilities :

• Hospital Privileging for New Hires :
  • Coordinate the credentialing process for new hires, ensuring that all required documentation (e.g., licensure, board certifications, malpractice insurance, background checks) is collected, verified, and submitted to the appropriate hospital.
  • Ensure that new providers meet all hospital credentialing requirements and that their credentials are entered in appropriate software/systems/applications.
  • Monitor the progress of credentialing applications and work with the appropriate departments to resolve any issues or delays.
  • Communicate with new providers to ensure timely submission of required documentation and inform them about the credentialing process.
  • Work with RCM team to ensure that all billing credentialing approvals are obtained before a provider begins patient care or submits claims.
• Team Collaboration : maintain accurate records of credentialing status for each new hire and communicate with HR and other departments to ensure smooth onboarding.

As Needed : Support additional tasks or projects assigned by management or other departments, such as data analysis or preparation for special audits.

Skills and Qualifications :

• High school diploma or equivalent required; Bachelors degree in healthcare administration, business, human resources, or related field preferred.
• A strong background and desire to provide excellent customer service is required
• Previous experience in physician and APP (PA, NP) hospital privileging, new hire onboarding, healthcare administration, or a related field strongly preferred.
• Familiarity with hospital credentialing processes for new hires, including document verification, licensure checks, etc.
• Previous experience in navigating MD-Staff preferred.
• Proficiency in Google Workspace (Docs, Sheets, Calendar, etc.) and Microsoft Office Suite (Excel, Word, PowerPoint).
• Strong attention to detail and the ability to perform complex reconciliations and data tracking across multiple service lines.
• Strong organizational skills and the ability to manage multiple tasks and meet deadlines.
• Excellent communication skills, both verbal and written, to effectively communicate with providers, insurance companies, and internal teams.
• Ability to maintain confidentiality and comply with HIPAA guidelines.
• Strong problem-solving skills and the ability to manage sensitive or complex issues with professionalism.

Working Conditions :

• This position typically works in an office or healthcare setting with regular business hours of 8:30 AM - 5 PM, Mon - Fri.
• Availability may be required during peak periods, such as end-of-month or end-of-year reporting, or to address urgent issues related to credentialing or onboarding.

Compensation details: 53000-65000 Yearly Salary

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