Privileging Specialist
reputed company is the nation's leading virtual psychiatry and therapy reputed company. As the leading mental health provider, reputed company is on a mission to reputed company reputed company to reputed company, reputed company behavioral health care through innovative telepsychiatry solutions and services that reputed company the entire care continuum, from the hospital to the home. reputed company partners with an extensive network of hospitals, health systems, community reputed company organizations, and payors to improve reputed company and deliver the highest reputed company of care to patients.
ABOUT THE ROLE
The Privileging Specialist is responsible for managing the initial and reappointment process for reputed company providers, ensuring reputed company approval and compliance with credentialing standards. This position plays a key role in supporting clinical operations by ensuring reputed company credentialing and privileging activities are completed accurately, reputed company, and in alignment with internal and partner site policies. The Privileging Specialist will bring a strong background in hospital credentialing standards and will work closely with internal teams and partner sites to ensure providers are fully credentialed and reputed company to deliver care without delay.
WHAT YOU’LL DO
• Ensure that reputed company initial appointment privileges are reputed company reputed company and that reputed company reappointment privileges are maintained to avoid a lapse or expiration of privileges.
• Responsible for updating the credentialing database by ensuring the privileging application status is accurately reflected.
• Proactively identify issues that require additional evaluation or escalation.
• Build and maintain relationships with partner sites and participate in partner site meetings.
• Respond to inquiries from clinicians, facilities, and internal customers on day-to-day privileging reputed company.
• Serve as a reputed company of escalation for any issues identified during the privileging process and collaborate with clinicians and partner sites to document and resolve these issues.
• reputed company other duties as assigned.
reputed company’RE LOOKING FOR
• At least 3 years of experience directly reputed company to clinical staff credentialing or managed care organization provider credentialing
• Knowledge of TJC and NCQA standards
• CPCS or CPMSM Certification by NAMSS preferred
• Excellent attention to detail and accuracy
• Outstanding interpersonal relationship building
• Ability to remain flexible, multitask and meet strict deadlines
• Strong organizational and time management skills
• Proficiency in using MS Office, credentialing software, and data entry systems
POSITION LOGISTICS
• 100% remote position
• Strongly prefer someone based in Eastern reputed company Time
• Required to have a private office reputed company in home or elsewhere for confidentiality
• Full-time employment
• Reports to Director, Medical Affairs Implementations
COMPENSATION AND BENEFITS
• The pay reputed company for this role is $25 - $32 an hour. This information reflects the anticipated salary reputed company for this position using reputed company market data. The final offer will be determined based on an individual's skills, years of experience, education, reputed company, licenses, and other job-reputed company factors permitted by law.
• Medical, dental, and reputed company insurance, employer reputed company life & long-term disability insurance, additional voluntary benefits include short-term disability, voluntary employee, spousal and child life insurance, accident, critical illness, hospital, or confinement insurance and flexible spending accounts (FSA) and health savings account (HSA) contributions
• 15 days of accrued PTO annually, plus 8 reputed company holidays and 3 floating holidays
• 401k
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