Credentialing Specialist

at RLDatix in Chicago, Illinois, United States

Job Description

RLDatix is on a mission to change healthcare. We help organizations drive safer, more efficient care by providing governance, risk and compliance tools that drive overall improvement and safety. Our suite of cloud-based software helps organizations reduce healthcare-acquired infections, report on adverse events, and ensure patient safety learnings are deployed effectively and immediately through dynamic policy and procedure management. RLDatix is truly global, with offices in London, Toronto, Chicago, Melbourne, and Riyadh, allowing us to be at the forefront of global patient safety and GRC movement. We envision a world where patients have access to the best and safest care possible and our team is made up of people who truly believe in what we do. We’re always looking for people who are passionate about making a positive change in healthcare to join our team.

In line with our mission, we are looking to recruit a Credentialing Specialist to work in the Credentialing team. This is a remote position.

What You Will Do:

Practitioner Application Processing:

· Use critical thinking to evaluate practitioner application data for accuracy and completeness; including detailed follow-up and investigation efforts.

· Perform first round of primary source verification requests using a variety of tools including online sources and phone, or via fax/email.

· Serve as a key resource to support practitioner use of the online application tools as well as engage them to resolve pending application requirements and incomplete data.

· Prepare a first draft of application reports and review for quality and accuracy to support the next steps of the process to deliver the file to the client.

Customer Service:

· Provide quality customer support to all levels of personnel; including practitioners, practice management staff and associated administrative personnel, and internal team members.

· Demonstrate excellent phone presence and strong written communication skills to provide for an efficient application process as possible for practitioners.

· Exhibit a strong aptitude to understand and explain software systems and new processes.

· Utilize critical thinking skills to resolve support questions.

New Application Set Up:

· Process assigned new application requests within 24 hours of receipt to ensure applications are pre-populated and available for practitioner interaction to support their intended start date.

· Review completed data entry for accuracy and completeness.

· Use critical thinking and industry knowledge to identify discrepancies; and complete thorough investigations of unexpected values with diligence and resourcefulness.

· Collaborate with other team members to ensure deadlines are met.

Skills/Experience/Competencies You Will Need:

· Bachelor’s degree or equivalent experience.

· Relevant credentialing experience or similar administrative experience.

· Competent in the use of Microsoft software products.

· Keen Attention to detail.

· Ability to endure large volumes of data entry & information management.

· Strong time management skills especially with demanding & recurring deadlines.

· Ability to be innovative, establish priorities, and make decisions independently.

· Demonstrated ability to handle sensitive and confidential information appropriately.

· Driven by a team environment with a willingness to help beyond the borders of a specific tas

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