Lead Credentialing Specialist at RLDatix in Chicago, Illinois

Job Description:

Every single day around the world, thousands of patients are harmed from care delivery errors, many of which are preventable. We want to change that. RLDatix is on a mission to improve healthcare by enabling a world where patients receive the best and safest care possible. Trusted by thousands of clients around the world, our connected healthcare operations platform combines software and trusted services to empower organizations with critical data insights across risk, safety, compliance, provider lifecycle and workforce management. Our user-centric approach provides a holistic, real-time view of healthcare operations, connecting disparate information across the enterprise – thus giving organizational leadership the contextualized data they need to make better informed decisions.

RLDatix is truly global, with over 2,000 employees across the UK, Europe, Middle East, Australia, Canada, and the United States. Our strategy is fueled by organic and inorganic growth that brings together the brightest minds and the latest technology – including AI - to deliver marketing leading solutions for our clients. We are looking for people to join our team who are passionate about making a positive change in healthcare. Join us as we work towards our vision of safer, better healthcare for all.

In line with our mission, we are looking to hire a Lead Credentialing Specialist to join our Credentialing team.

What You Will Do:

The Lead Credentialing Specialist is responsible for managing application content and delivery, including maintenance of ongoing deadlines, preliminary quality review, and client collaboration.

Key Responsibilities

Application Processing

• Use industry knowledge to process provider applications with regulatory and client defined timelines while evaluating for accuracy and completeness.

• Request, complete, and finalize all pending verifications.

• Responsible for the collection of all organization specific documents

• Finalize application and review for quality assurance.

• Assist with follow-up on all MSO review comments and necessary investigations.

• Track pending verifications and application issues through committee review.

Client Service

• Provide quality customer support to all levels of personnel.

• Explain software systems and new processes.

• Utilize critical thinking to resolve support and client questions.

• Collaborate with teammates to ensure client needs are met.

Client Collaboration

• Organize and participate in virtual client meetings to provide application status updates and/or any discrepancies that may have been uncovered.

• Track and meet client application deadlines.

• Create and maintain successful relationships.

• Assist with special client projects.

• Assist with general new client implementation as required.

Experience/Knowledge/Competencies You Will Need:

• Minimum 1 year working experience with healthcare credentialing systems – such as Verity, MDStaff, MSOW, Verge, Catus, Echo, etc.

• Experience with active management of work queues to meet new and recurring deadlines along with working in-process applications through completion.

• Experience working with providers, practitioners, and medical staff office.

• Knowledge of NCQA and/or TJC Accreditation standards

• Working knowledge of clinical and/or medical staff office hospital operations and procedures.

• Capable of handling sensitive and confidential information appropriately

• Excellent client service skills

• Strong communication skills, ability to communicate effectively with internal and external stakeholders.

• Proven ability to prioritize and meet deadlines.

• Keen attention to detail and critical thinking skills

• Ability to manage large volumes of data entry and information management.

RLDatix is an equal opportunity employer, and our employment decisions are made without regard to race, color, religion, age, gender, national origin, disability, handicap, marital status or any other status or condition protected by Federal and/or State laws.

RLDatix offers a competitive compensation package and comprehensive benefits package including health, dental, vision, life, disability coverage, a generous retirement savings plan, paid time off, and paid holidays. RLDatix is an equal opportunity employer, and our employment decisions are made without regard to race, color, religion, age, gender, national origin, disability, handicap, marital status or any other status or condition protected by Federal and/or State laws.

All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or other legally protected status

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