Hospital Services Corporation Hiring for Credentialing Analyst – Healthcare at Albuquerque, NM Full Time

Hospital Services Corporation provides credentialing and provider enrollment services for various hospitals nationwide. The Credentialing Analyst will analyze and process documents for credentialing and licensing of healthcare providers with emphasis on customer support, processing accuracy and timeliness of all services provided to customers of our department.

• Utilize the eCreds database in the processing of customer organizations’ licensing or credentials files. Enter customer organizations’ credentials data into the database as accurately and timely as possible.
• Assist with pre-processing of licensing files to meet state licensing requirements.
• Process primary source verifications of medical education, board certification, licensure, drug registration, and any other information necessary to complete a state licensing or credentials file for providers of customer organizations using the program’s database whenever possible.
• Establish customer organizations’ new licensing or appointment files upon receipt of customer request forms and processes and maintain the files in an orderly and neat manner.
• Follow up with customers, providers and third parties to obtain needed information using phone and email as appropriate to ensure items are obtained in a timely manner.
• Query the appropriate resources for information pertaining to adverse actions on licensure for customer organizations’ medical staff members/providers.
• Analyze credentialing files to ensure regulatory and customer requirements are consistently met.
• Meet daily productivity standards and monthly department metrics. Achieve other goals as determined during the performance planning process.
• Works closely with other Credentialing Analysts and Assistant Analysts to ensure all credentialing, re-credentialing, and file maintenance files for all customer organizations’ providers are completed in a quality manner and completed timely.
• Maintain various s for distribution to appropriate internal and external customers. Such s include, but are not limited to, check and credit card fees, monthly billing s, updated provider s, file maintenance s, licensure expiration s, and credentialing status s.
• Keep abreast of all standards and regulations pertaining to the state licensing or credentialing process such as Joint Commission and NCQA.
• Provide excellent customer service support for Staff Readiness Department.
• Handle Customer Service calls, as received through the call rotation system and submit AutoTask tickets as appropriate.
• Handle assigned AutoTask tickets in a timely manner and support the Customer Services desk, as necessary.
• Other duties as assigned by the Staff Readiness Manager.

**Job Qualifies for hybrid work schedules and flexible work weeks.

Job Type: Full-time

Pay: $17.00 – $26.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Supplemental pay types:

• Bonus pay

COVID-19 considerations:
Employees may work a hybrid schedule (some days in the office and some at home), and flexible work weeks are available. We follow all Department of Health, Public Health Orders.

People with a criminal record are encouraged to apply

Experience:

• NCQA standards: 2 years (Preferred)
• Medical Staff Services: 3 years (Required)
• Provider Credentialing: 3 years (Required)

Work Location: Multiple Locations