Description
Core Clinical Partners stands at the forefront of Emergency and Hospital Medicine, delivering unparalleled services through a model that emphasizes patient-centric care and operational excellence. Our corporate values – Genuine, Accountable, Dynamic, Respectful, and Fun – are the pillars that uphold our commitment to revolutionize healthcare delivery.
The Lead Credentialing Specialist is responsible for partnering with medical providers, hospitals, provider enrollment team, operations leaders, and other stakeholders to ensure providers are credentialed. This position will manage and oversee credentialing process for healthcare providers; lead and mentor team of credentialing specialists providing training, support, and guidance; conduct regular audits of credentialing files; identify areas for improvement in workflows and implement best practices.
Essential Duties:
Serve as administrative support for Credentialing Manager
Design, develop, and update training materials for the onboarding of new credentialing specialist and ongoing education for existing staff in conjunction with the credentialing manager
Create and maintain a comprehensive library of educational materials, including how-to guides, training manuals, and reference documents.
Conduct training for new credentialing specialist either remotely or in person
Conduct regular training sessions and workshops to ensure all staff are proficient in the latest practices and protocols.
Encourage knowledge sharing and best practices among staff.
Develop and deliver educational content for department meetings, ensuring they are engaging and informative.
Communicate regularly with staff to understand their needs and provide ongoing support.
Perform other duties as assigned
Skills, Knowledge, Abilities:
Knowledgeable on credentialing requirements and workflows for providers at differing client groups
Familiar with healthcare jargon and terminology related to credentialing
Excellent verbal and written communication skills
Excellent interpersonal and customer service skills
Excellent organizational skills and attention to detail
Work independently and exercise judgement on decision making and issue resolution
Navigate competing priorities and effectively work in a fast-paced environment
Manage information flow in a timely and accurate manner
Collaborate with professionals internal and external to the company and across geographic locations
Identify and execute opportunities for improvement
Exhibit growth mindset and team-orientated behaviors
Proficient in Microsoft Office with ability to effectively navigate job related software for
credentialing and other functions.
Utilize independent judgment on determining areas of collaboration, escalation, and autonomy
Strong leadership and team management skills
Exceptional client relationship management abilities
Proficient in using various educational technologies and platforms.
Proven ability to design effective training materials and conduct engaging training sessions.
Strong decision making and problem-solving skills
Identify and execute opportunities for improvement
Core Clinical Management, LLC is an equal opportunity employer and complies with ADA regulations as applicable.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Requirements
Education:
High School Diploma or GED required
Experience:
Prior administrative experience in a healthcare environment
5 years in credentialing within a healthcare setting
Experience with MS Outlook, Word, and Excel
Experience with MS Teams and credentialing software preferred
Excellent communication and presentation skills