Senior Credentialing Analyst  
Virtelligence Information Services   More jobs from this company

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Job Title:   Senior Credentialing Analyst
Category:   Operations
Total Positions:   2
Job Location:   Rawalpindi
Gender:   No Preference
Minimum Education:   Bachelors
Degree Title:   Bachelor
Career Level:   Experienced Professional
Minimum Experience:   1 Year3 Years
Salary Range:   PKR 0 to 0 per Month
Apply By:   Feb 24, 2023
Job Description:

Virtelligence is currently seeking a Credentialing Analyst. The Credentialing Analyst will maintain high standards of accountability and operate on the principles of a High-Reliability Organization in an effort to achieve safety, quality, and efficiency goals. This individual acquires and maintains relevant compliance documentation for Healthcare Provider candidates on assignment with client facilities by partnering with internal sales and clinical teams, creating urgency with candidates, and reinforcing Joint Commission, federal, state, and Virtelligence mandates in order to achieve compliance for on-time start date ultimately impacting fill rate, market share, and revenue.

Skills/ Responsibilities:

  • Review healthcare providers’ submitted requirements including licensure, certifications, screens and other critical documents using the data platform system to determine healthcare provider (HP) document status versus requirements needed for a specific assignment in order to pursue outstanding requirements.
  • Communicate timely updates of HP document status with all internal stakeholders via the data platform system, email, phone, etc. to facilitate a team approach to gathering all required documents.
  • Create urgency with healthcare providers via email and phone, to encourage timely and accurate document submission by establishing target dates and monitoring document submission progress in order to deliver comprehensive documentation to the client facility for an on-time assignment start date.
  • Coordinate response to assigned client regulatory audits, TJC/TWSM/NCQA documentation, and other requests by client facilities by completing the requests with accuracy and within the established/provided timelines.
  • Coordinate with 3rd party vendors to determine appropriate dates, times, and locations for HP candidates to complete necessary compliance steps including drug screens, background checks, immunizations, etc.
  • Facilitate the process for assigned facilities by taking a lead role to collaborate with Account Managers, Recruiters, and the Housing department in order to determine reasonable start dates.
  • Collaborate and review all incoming new client contracts or contract revisions for Credentialing requirements, for assigned facilities in order to identify unique requirements.
  • Negotiate with client facility to reconsider unusual or uncustomary requirements by emphasizing the value and experience of Quality Services Department with client facilities in order to minimize disruption of placements and optimize fill rate.
  • Consult clients on Credentialing best practices by making recommendations on requirements expectations and realistic start dates to streamline submission and placement processes in order to increase the fill rate of qualified HPs.
  • Maintain up-to-date and accurate facility database including updated contact information, new requirements, and client correspondence by following up regularly with clients in order to optimize service coverage and prevent gaps in service delivery.
  • Research new requirements (by The Joint Commission, OSHA, and others) that may impact the industry in order to present proposals to leadership that clarify appropriate action plans that will address the requirements with the least resources and expense.

A Successful Applicant Must Have

  • A Bachelor ’s Degree or related experience
  • 1 to 3 years previous experience
  • A strong sense of urgency and competitive drive to be the best
  • 1 or more years recruitment experience of Allied (rehab/therapy, imaging, respiratory, lab) or Nurse travelers will be nice to have

Company Information
Company Name:  Virtelligence Information Services
Company Description:
Virtelligence is a privately held Healthcare and Business IT consulting firm that offers solution advisory and IT consulting services to payors, providers and life science organizations nationwide. Virtelligence offers a unique consulting model providing an implementation-oriented partnership with clients, and a work environment that offers colleagues a path for professional growth. Founded in 1998, the company has a national presence and a client roster that includes the nations most prominent Payor, Provider, and Life Science organizations. Our commitment to our customers is built around a solid knowledge of our clients business and access to the best resources available.

Mission and Vision Statement

Virtelligences mission is to provide human capital expertise to healthcare payors, providers, and life science organizations to help them leverage information technology in order to optimize their business performance and create a better patient experience. We continue to invest in initiatives that will align with our customers needs in order to drive long-term, sustainable growth, and profitability. It is our objective to exceed the expectations of our employees, consultants, and clients by providing the highest quality of service and responding to the needs of our customers, consultants, and community.
We are committed to becoming the premier healthcare IT consulting firm in the nation with unparalleled knowledge and commitment to helping our clients succeed. Each day, we build on that vision through our employees expertise and a consistent professional integrity that forges lasting relationships with our clients through mutual trust and respect. To realize our Vision, we deliver strategy, management and implementation consulting services for healthcare providers with no biases or outside influences. We have unparalleled experience, with reputable leaders, best-in-industry consultants, and unmatched references from the most influential healthcare provider organizations.
Our Core Values will continue to be the foundation of our company's culture and standard by which we conduct our business. Our consultants, our company, our clients and our commitment to quality are the framework of our principles.

Our word is our bond. We do not compromise our integrity.

Respect for the Individual
We value and encourage each individual, whether employee or client, to celebrate the cultural diversity of all employees; we treat everyone with dignity and respect.

Commitment to client success
We are committed to delivering results on time and within budget, driving long-term business value for each of our clients.

Achievement through team work
We promote and practice team work in order to achieve greater results and long term development then we can as individuals.

Affirmative Action
Virtelligence is an equal opportunity/ affirmative action employer.

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