Job Summary
We are seeking a Process Specialist with 4 to 5 years of experience in HealthCare Products to join our team. The ideal candidate will have expertise in Prov Privileges excl Hospital Demo Changes Credentialing and Re-credentialing by Calls . This role requires working in a hybrid model with night shifts. The candidate will play a crucial role in ensuring the smooth operation of healthcare processes and contribute to the overall efficiency and effectiveness of our services.
Responsibilities
- Oversee the management of healthcare products to ensure compliance with industry standards and regulations.
- Provide expertise in Prov Privileges excl Hospital to maintain accurate provider information.
- Manage demo changes to ensure that all demographic data is up-to-date and accurate.
- Handle credentialing and re-credentialing processes to ensure that all providers meet the necessary qualifications and standards.
- Collaborate with various departments to streamline healthcare processes and improve overall efficiency.
- Conduct regular audits to ensure compliance with healthcare regulations and standards.
- Develop and implement process improvements to enhance the quality of healthcare services.
- Provide training and support to team members on healthcare processes and procedures.
- Monitor and analyze process performance to identify areas for improvement.
- Ensure that all healthcare processes are documented and maintained accurately.
- Work closely with healthcare providers to address any issues or concerns related to credentialing and privileges.
- Participate in the development and implementation of healthcare policies and procedures.
- Maintain up-to-date knowledge of industry trends and best practices in healthcare process management.
Qualifications
- Possess a minimum of 4 years of experience in healthcare products management.
- Demonstrate expertise in Prov Privileges excl Hospital demo changes credentialing and re-credentialing.
- Have a strong understanding of healthcare regulations and standards.
- Exhibit excellent communication and collaboration skills.
- Show proficiency in process improvement methodologies.
- Display strong analytical and problem-solving abilities.
Certifications Required
Certified Provider Credentialing Specialist (CPCS) or equivalent certification is required.