Credentialing Specialist

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Brookhaven, GA, US

This is an in-office position.

Tele Specialists is transforming healthcare delivery as the nation's largest and fastest-growing digital healthcare leader. By providing expert neurological and psychiatric care directly to over 400 hospitals and health systems across the country, we don't just provide care; we pioneer solutions that make quality healthcare easily accessible.

Join a team where your passion meets our purpose. If you’re inspired by innovation, thrive in a collaborative and entrepreneurial environment, and want to be a part of a team that’s reshaping the future of patient care, we want you on our team. At Tele Specialists, you'll discover more than just a job. You will be able to experience meaningful work, accelerated career growth, and the opportunity to redefine healthcare for the future.

• A great culture with a team environment
• A fun, diverse work environment
• A rapidly growing company with career advancement opportunities
• Medical, Dental and Vision benefits
• Tuition Reimbursement
• Paid Vacation
• Leadership Training Classes

Tele Specialists is looking for a Credentialing Specialist III responsible for supporting the credentialing process of our providers by completing and/or processing credentialing applications and proactively monitoring the status of applications and outstanding items to ensure timely completion of credentialing for our providers. This is a senior level position on the credentialing team that plays a key role in our ability to efficiently privilege providers and scale our patient services.

• Credentialing Specialist may perform some of the same responsibilities and tasks as the Credentialing Specialist I and II including:
• Develop and maintain relationships within the credentialing and licensing teams, other internal departments and/or with our hospital partners
• Performs data entry of physician’s information into various credentialing applications or systems for processing for both initial credentialing and reappointments
• Reviews and analyzes provider’s information for accuracy and completeness.
• Conducts regular follow‑up on the status of applications, compiling all required outstanding documentation and verifying all data or documents have been received to process applications timely.
• Documents within the credentialing and licensing software platform.
• Makes leadership aware of any potential issues identified during the credentialing process and works in collaboration with provider to document/resolve the issue.
• Delegated credentialing functions
• Primary source verifications
• Preparing credentialing files for review and approval
• Will assist with training and mentoring of Credentialing Specialist I’s and II’s.
• Identifying opportunities for improvement, leading special projects and implementing process improvement initiatives
• Responsible for assisting with oversight and performance of the team including quality assurance reviews, compliance with policies and procedures and regulatory requirements
• Other duties as assigned.

• Bachelor’s Degree or equivalent is preferred
• 3-5 years credentialing experience required
• Certifications such as CPCS or CPCM is preferred
• Experience working in a hospital, physician practice or healthcare setting is required

• Ability to interact with internal and external customers
• Experience in an administrative or operational support role
• Ability to type 30+ WPM
• Strong computer skills, being open and able to learn and use new technologies
• Intermediat…