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Credentialing Specialist
2 weeks ago
Company Description
International Health and Medical Services delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded in 1984, we operate in 92 countries providing integrated medical solutions to organizations with international operations. Our innovative technology and medical and security expertise focus on prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include "hands on" direct care at over 800 sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our services include the design, deployment, and operation of healthcare solutions including freestanding surgical facilities in remote and austere environments, telemedicine consultation through a wide range of virtual modalities, referrals to a global network of more than 100,000 vetted providers, and global aeromedical evacuation. Within our portfolio of companies, International Health and Medical Services headquartered in Houston, Texas provides contracted healthcare support to Government defense and civil agencies and government contractors, including support to military exercises and operations, diplomatic missions, natural disasters, and refugee care.
Job Description
The Credentialing Specialist is responsible for maintaining precise, up-to-date credentialing records and overseeing timely background checks, license verifications, and credential compliance. This role manages substantial volume demands while supporting cross-functional needs across multiple business units.
MAJOR DUTIES AND RESPONSIBILITIES:
- Initiate the on boarding process by ensuring accurate updates in the Applicant Tracking System (ATS) and timely distribution of required documents to new clinicians.
- Credentialing Specialists ensures all credentialing activities comply with state, federal, and Joint Commission standards.
- Oversee the accurate management, retrieval, and verification of clinician documentation across internal databases and client platforms, maintaining a high level of data integrity.
- Ensure compliance with confidentiality and regulatory standards by verifying credentials such as licenses, education, employment history, and background checks.
- Communicate directly with clinicians to provide guidance on credentialing requirements, address questions, and support timely renewals by proactively managing upcoming expirations, exams, and related documentation.
- Proactively track and manage expiring credentials, send timely reminders and ensure all compliance documentation is current.
- Conduct regular credentialing and sanction checks, ensuring that client systems are updated and compliance is maintained.
- Support reporting efforts by preparing weekly and monthly reports on credentialing status, assisting with audit documentation as needed.
- Generate reports to track expiring credentials, update systems, and assign assessments or schedule clinic visits to maintain compliance.
- Initiate pull notices for expired credentials or client requests, ensuring swift compliance action.
- Serve as a backup for credentialing activities during team member absences, ensuring no interruptions in service.
- Communicate effectively with Credentialing Team, Team Leaders, and Recruiters to resolve any compliance or renewal concerns.
- Actively participate in cross-training to ensure flexibility and seamless operational support across the credentialing team.
- Assist in mentoring and training new team members, providing guidance and support to ensure consistent onboarding and credentialing practices.
Other Duties
- This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job and may vary based on the needs of the position. Duties, responsibilities and activities may change at any time with or without notice.
- This job description does not include performance metrics, which may vary by position.
- Occasional travel and onsite/office training may be required.
Qualifications
QUALIFICATIONS:
- One year of experience in data collection, data entry, and reporting.
- Prior experience managing and tracking expiring credentials such as licenses, certifications, etc.
- Prior experience in healthcare staffing, compliance, or a related HR field is preferred.
COMPETENCIES (Knowledge, Skills, And Abilities):
- Professional & Technical Expertise: Possess an overall knowledge of business functions and understanding of services, business strategy, policies and procedures, and job's impact on the organization.
- Attention to Detail: Focus on the details of work content, work steps, and final work products.
- Adaptability: Respond positively to change and modify behavior as the situation requires.
- Action & Results Focus: Work independently, see business needs and proactively accomplish them for the betterment of their team and the organization.
- Oral Communication: Engage effectively in dialogue.
Additional Information
Pay range is based on several factors and may vary in addition to a full range of medical, financial, and/or other benefits. Final salary and offer will be determined by the applicant's background, experience, skills, internal equity, and alignment with geographical market data.
Salary Min: 29000 PHP monthly: Max 35000 PHP monthly
Benefits – Full-time positions are eligible for our comprehensive and competitive benefits package including medical, dental, vision, and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus. International Health and Medical Services complies with all federal, state, and local minimum wage laws
International Health and Medical Services is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with the applicable federal, state and local laws.
