Credentialing Specialist

About the Company

Andros fosters a culture grounded in passion, innovation, and transparency, with a strong emphasis on mutual support and effective communication fueled by dedication to their work, clients, and colleagues. The company encourages collaboration, ownership, and inclusive dialogue at every level, empowering self-driven individuals eager to positively influence healthcare administration. Continuous advancement is supported through learning and development initiatives embedded in a diverse and inclusive environment.

Role Mission

The Credentialing Specialist will coordinate and manage credentialing processes for Facilities and Providers within the Network Management team, ensuring flawless client experience and adherence to all service level agreements. This role is responsible for transparent communication and detailed documentation of processes and workflows, contributing to quality assurance and compliance in both internal and client-facing operations.

Key Outcomes and Responsibilities

• Oversee credentialing program execution by verifying licensing, credentials, insurance records, and other primary source verifications (PSVs) as needed.
• Conduct research to stay updated on relevant state and federal regulations and policies.
• Contribute to the enhancement of internal credentialing procedures.
• Utilize established work systems maintaining standardized workflows while continually seeking improvements.
• Manage and resolve internal and external credentialing requests promptly.
• Ensure accurate data entry and maintenance of provider information within Andros’ database.
• Complete initial and re-credentialing applications for providers and facilities.
• Participate in quality assurance by collaborating with the Credentialing Manager and team to establish quality metrics aimed at error elimination, reducing waste, and minimizing rework.
• Aid in constructing a metrics-driven, structured workflow accommodating general and client-specific needs.
• Support process enhancements focused on incremental improvements and next-generation credentialing practices.
• Expand domain expertise through thorough documentation, current records maintenance, and team training.

Role Competencies

• Ownership: Take full accountability for your responsibilities and outcomes, earning trust by being dependable.
• Communication: Articulate ideas concisely and clearly, listen attentively, seek clarity when needed, and proactively express concerns.
• Problem Solving: Independently and collaboratively address complex challenges with a mindset geared towards continuous improvement.
• Attention to Detail: Maintain diligence to ensure thoroughness and accuracy.
• Flexibility and Adaptability: Adjust quickly to evolving priorities and complex situations.
• Commitment: Honor verbal and written agreements consistently.
• High Standards: Exemplify excellence personally and foster the same in the team.

Qualifications

• Knowledge of provider credentialing and recredentialing requirements.
• Proficient with computer and software applications.
• Excellent interpersonal and communication abilities, both written and verbal.
• Trusted to handle confidential information responsibly.
• Capable of working independently and managing assigned duties effectively.
• Strong skills in organization, time management, prioritization, and operational efficiency.
• Ability to thrive in a fast-paced work environment with flexibility.
• Competent in resolving problems involving multiple concrete variables within standardized environments.
• Minimum of three years’ experience in provider healthcare credentialing (excluding provider enrollment).
• Familiarity with Microsoft Excel, Jira, Google Sheets, and Tableau is advantageous.

Compensation

The position offers an hourly wage of $24.