Job Details

Job Location: USA Remote - Nashville, TN

Position Type: Full Time

Education Level: 2 Year Degree

Salary Range: Undisclosed

Job Shift: Day

Company Overview

HealthStream is the leader in healthcare workforce solutions. We help organizations work better by helping their people work smarter. HealthStream provides the leading learning, clinical development, credentialing, and scheduling applications delivered on healthcare’s #1 platform. We streamline everyday tasks while improving performance, engagement, and safety – fostering a workplace where people flourish, and care thrives.

Why Join Us

At HealthStream, you’ll have the opportunity to make a meaningful impact on the future of healthcare by collaborating with a team of talented professionals dedicated to innovation and excellence. We offer competitive compensation, comprehensive benefits, and a supportive work environment where creativity and collaboration thrive. Our shared vision is to enhance the quality of healthcare by empowering the people who deliver care – a commitment we have upheld for over 30 years through providing innovative solutions and driving constant growth. Join us in revolutionizing the healthcare industry and shaping the future of patient care.

Position Information

Position Overview

Supports the CVO’s application process, credentialing verification, expirable management and ongoing monitoring work for contracted healthcare organizations. Ensures clients and providers have a positive experience by providing quality service and communication.

Key Responsibilities

• You will be responsible for adhering to all HealthStream security policies, procedures, and assigned training.
• Coordinates provider application and primary source verification process using CVO credentialing platform.
• Manages provider application process including sending electronic applications to providers per client requests, evaluating the received application for completeness, resolving incomplete application information, accepting information into credentialing platform following CVO policies and procedures.
• Communicates with applicants and designated administrative support to resolve application requirements and incomplete data in a professional manner.
• Manages primary source verifications for provider applications including ensuring the verification of credentialing information from the provider’s application is correct and from primary sources, tracking fees for verifications, following up on non-received verifications needed to close files, and tracks information following CVO policies and procedures.
• Communicates professionally with applicants, designated administrative support and primary source organizations on verification discrepancies, information needs and requirements.
• Manages ongoing expirables for providers primary state license, board certification, DEA/CDS and malpractice insurance for contracted clients.
• Manages ongoing monitoring of sanctions for contracted clients for state licenses, Medicare and Medicaid and Medicare Opt-Out.
• Provides a monthly report of outcomes.
• Stays informed on all client criteria requirements to ensure requirements are applied to files through the application and verification process.
• Communicates with providers and client questions and concerns regarding a variety of issues related to the processing of credentialing applications.
• Tracks and obtains fee verifications; follows department policies and procedures standards for check requests and credit card usage.
• Supports the billing process for verification services.
• Maintains and updates the database reference tables in accordance with internal policies and procedures with current contact information following data standardization protocols.
• Maintains own professional growth through participation in seminars, conferences, in-service programs and self-directed learning activities.
• Contributes to the team efficiency by providing support both operationally and administratively.
• Assists with special projects and tasks as requested.

Qualifications:

Requirements: Associate’s degree preferred. In lieu of education requirement, previous work history and years of experience may be considered. 1-3 years job related experience, preferably in a provider credentialing environment, a provider network or medical group.

Compensation

The salary range for this position is $21.80 - $24.04 per hour. Salary will be determined by the candidate’s level of experience and qualifications. Compensation will be commensurate with skills, relevant experience, and performance in similar roles.

Benefits

HealthStream offers a comprehensive benefits package to eligible employees, including: Medical, Dental and Vision insurance, Paid Time Off, Parental Leave, 401k and Roth, Flexible Spending Account, Health Savings Account, Life Insurance, Short- and Long-Term Disability, Medical Bridge Insurance, Critical Illness Insurance, Accident Insurance, Identity Protection, Legal Protection, Pet Insurance, Employee Assistance Program, Fitness Reimbursement.

Are you passionate about enhancing healthcare outcomes and empowering healthcare professionals? Join the HealthStream team and become a HealthStreamer! Together, we can make a difference in the world of healthcare.