Credentialing Specialist

Job Description

Job Description

Join on the heart-warming journey with a team that is a top leader in the rehabilitation industry

Encompass Health is the leader in inpatient rehabilitation industry, you'll feel the Encompass Health direction as soon as you join. We collaborate and provide high-quality, compassionate, individualized care for our patients, allowing us time to get to know them and help them achieve their goals during their rehabilitation journey.

Position Purpose

The Credentialing Specialist is primarily responsible for managing non-traditional and complex credentialing applications, which require a higher level of critical thinking. These applications include the telehealth, telemedicine and locums practitioners across all regions for all hospitals. In addition, this position will assist the supervisor with the quality plan. This position is supervised by the Credentialing Analyst.

Responsibilities & Tasks

• Initiates and oversees complex and/or non-traditional credentialing processes
• Works independently to facilitate the verification process for practitioners under the credentialing by proxy agreements.
• Manages the locums and telemedicine process in a time-sensitive fashion, working with vendors and hospitals
• Collaborates with supervisor on quality plan, as developed
• Uses own judgment in overseeing the privilege development and approval for telehealth and locums providers
• Ensures applications are verified per medical staff bylaws, Joint Commission standards and department policies
• Liaises between CVO/hospitals; completes verification documents; loads into credentialing software
• Tracks responses and follows-up on items not received within established time frames
• Communicates with hospitals about status of verification process, missing items, and red flags
• Monitors practitioner appointment and credentials expiration dates for assigned hospitals.
• Follows up with hospitals on approval dates and enters into database
• Inactivates practitioners in database per hospital request and procedure
• Conducts, participates in, and maintains credentialing and privileging
• Maintains a working knowledge of medical staff bylaws, rules and regulations
• This is a remote position but candidate must live within a 50 mile radius of the Home Office in Birmingham, AL

Qualifications

License or Certification:

• CPCS or CPMSM preferred

Minimum Qualifications:

• High school degree required
• Three years' experience in medical staff credentialing preferred

A little about us

We're confident you'll see the difference the moment you join our team. Working at Encompass Health means working with a growing national inpatient rehabilitation leader. We're proud of our career growth opportunities and how our team members work together for the greater good of our patients. We've been named one of the "World's Most Admired Companies" and a Fortune 100 Best Companies to Work For® Award, among others, which is pretty amazing.

Our benefits start day one

• Affordable medical, dental and vision plans for full-time and part-time employees and their families.
• Generous paid time off that accrues over time.
• Tuition reimbursement and continuing education opportunities.
• Company-matching 401(k) and employee stock purchase plans.
• Flexible spending and health savings accounts.
• A community of people who love what they do. Yes, we see that as a benefit.