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Credentialing Specialist

Silversheet is looking for a Credentialing Specialist to work directly with our ASC customers around the nation. The position will report directly to the Director of Customer Success. The Credentialing Specialist will work directly with Silversheet customers to manage the credentialing and re-credentialing of their physicians and allied health professionals.

Duties and Responsibilities include:

  • Work with multiple ASC clients at the same time
  • Responsible for initial and ongoing credentialing and privileging process for all designated providers in accordance with the customers accreditation standards and bylaw requirements; initiates credentialing process and follows it through the entire process including:
  • Review and audit of credentialing paperwork for accuracy and completeness
  • Obtain & verify provider credentials and liability insurance
  • Work with providers and supervisors to insure that applications and privileging forms are completed in a timely manner
  • Perform and track all primary source verifications
  • Prepare completed applications for committee review
  • Communicate regularly with providers and allied health professionals to facilitate & expedite document retrieval
  • Collaborate with Director, as necessary, regarding credentialing and re-credentialing applications that require additional investigation due to concerns related to professional criteria.
  • Stay up to date on changing accreditation guidelines and best practices
  • Serve as resource specialist for internal departments for daily issues related to provider credentialing activities.
  • Other projects as assigned.

The Ideal candidate will have/be:

  • At least 2 years of high volume credentialing experience, CPCS certification preferred
  • Previous experience in an Ambulatory Surgical Center setting(s). Additional experience in a hospital setting is a strong plus
  • Knowledge of ASC accreditation guidelines include TJC, AAAHC, AAAASF and CMS
  • Detail oriented, highly motivated and able to work in fast paced environment
  • Demonstrated  project and time management skills
  • Ability to meet deadlines and work in a fast paced setting
  • Excellent client management skills, professionalism and demonstrated self starter
  • Excellent computer skills: Excel, Word and fast adoption of the Silversheet platform
  • Maintains customer and provider confidentiality

Benefits & Perks:

  • Opportunity to revolutionize the healthcare industry and improve quality-of-care
  • Join a values-driven team at the top funded healthcare technology startup in Los Angeles
  • Flexible vacation schedule and paid education and career-advancement opportunities
  • Casual work environment and pet-friendly office
  • Health, dental and vision benefits
  • 401k
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