Renal Healthcare Credentialing Specialist

4 weeks ago


Columbus, Ohio, United States RHI DVA Renal Healthcare, Inc Full time

RHI DVA Renal Healthcare, Inc is a leading healthcare provider seeking a detail-oriented Renal Healthcare Credentialing Specialist to join our team. Located in Brentwood, Tennessee, this role offers a competitive salary range of $65,000 - $85,000 per year.

About the Role:

The Renal Healthcare Credentialing Specialist will be responsible for processing credentialing applications for physicians, renal fellows, and non-physician practitioners. This includes reviewing and tracking requests to add or remove practitioners from facilities in assigned states, as well as managing practitioner files for content and completeness.

Key Responsibilities:

  • Process high-volume privilege requests from physicians, renal fellows, nurse practitioners, physician assistants, and clinical nurse specialists.
  • Review and track requests to add/remove practitioners to facilities in assigned states.
  • Manage practitioner files for content and completeness, and identify potentially adverse information in accordance with Medical Staff Bylaws.
  • Generate and track primary source verifications for credentialing process as required by regulatory bodies and Medical Staff Bylaws.
  • Communicate with practitioners regarding credentialing status, providing updates and obtaining additional information as required.
  • Assure the integrity of information and verification source data when performing data entry into the credentialing software.
  • Organize and distribute information needed for committee meetings and governing body votes, and maintain confidential files on all providers.
  • Scan documentation of approved membership/privileges and privilege letters, and ensure timely notification is sent to practitioners.
  • Follow up on all outstanding vote requests and provide ongoing expirable maintenance.
  • Serve as liaison between Credentialing Department and facilities to assist with education of and compliance with Medical Staff Bylaws.

Requirements:

  • Associates or Bachelor's degree preferred.
  • CPCS certification preferred.
  • 2-4 years related credentialing experience and/or training, or equivalent combination of education and experience.
  • Previous credentialing experience highly preferred.
  • Ability to positively interact with practitioners, practitioner office groups, and other internal and external contacts.
  • Excellent computer skills, including Excel, Word, database maintenance, and Internet use.
  • Knowledge of MSOW credentialing software a plus.
  • Ability to deal with confidential information and/or issues using discretion and judgment.

What We Offer:

RHI DVA Renal Healthcare, Inc offers a comprehensive benefits package, including medical, dental, vision, 401(k) match, paid time off, and PTO cash out. We also provide support for you and your family, including family resources, EAP counseling sessions, access to Headspace, backup child and elder care, and more. Our company is committed to diversity and inclusion, and we strive to be a place where everyone belongs.

About Us:

RHI DVA Renal Healthcare, Inc is a leading healthcare provider committed to delivering high-quality care to our patients. We are proud to be an equal opportunity workplace and an affirmative action employer. We welcome talented individuals from diverse backgrounds to join our team and contribute to our mission of improving healthcare outcomes.



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