Clinical Credentialing Specialist

United States·Pompano BeachFull-Timemid

OtherCredentialing Specialist

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Quick Summary

Overview

Porter is hiring a Clinical Credentialing Specialist to join our Team! Porter blends the power of analytics with a compassionate approach to care. As a leading healthcare IT and services platform,

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OtherCredentialing Specialist

Porter is hiring a Clinical Credentialing Specialist to join our Team!

Porter blends the power of analytics with a compassionate approach to care. As a leading healthcare IT and services platform, we focus on care and coverage coordination to improve outcomes and member experiences. We deliver not only information but understanding and peace of mind for your members. Guided by robust AI, Porter's Care Guide Teams help members navigate the healthcare system with empathy, ensuring they receive the right support tailored to their unique needs. Our expert clinicians provide in-home assessments, including lab and diagnostic testing, to close care gaps and improve quality, cost, and overall member well-being.

Position Overview

We are seeking a dedicated, self-motivated, and detail-oriented Clinical Credentialing Specialist to join our team. The ideal candidate will play a vital role in ensuring the providers meet the required qualifications and compliance standards to provide member care. The Clinical Credentialing Specialist will be responsible for verifying and maintaining the credentials of nurse practitioners, registered nurses, licensed practical nurses and others as needed. Additionally, this position will involve guiding healthcare professionals through the credentialing, onboarding, and training processes, ensuring a seamless experience. This position requires strong organizational skills, a comprehensive understanding of healthcare regulations, and the ability to complete tasks efficiently and meet deadlines.

This is an on-site position at the Pompano Beach, FL

Monday-Friday in Office, with weekends as business needs require

Verify and process applications, ensuring accuracy and compliance with internal policies, industry standards, and government regulations

Collect and review primary source documentation and conduct background checks, including malpractice claims, disciplinary actions, and board certifications.

Confirm professional licenses, certifications, education, training, and work history

Ensure all credentials are verified and updated regularly

Maintain and manage accurate and organized databases to track the credentialing, onboarding, and training process

Prepare and present credentialing status reports and provide updates on pending credentials

Serve as the primary point of contact for internal teams, healthcare providers, and external partners regarding credentialing, onboarding, and training matters

2-4 years of experience in healthcare credentialing

Knowledge and understanding of credentialing, medical licensing requirements, and healthcare regulations

Excellent organization and time management skills

Ability to take initiative and ownership

Expertise with programs such as; Excel, Adobe, and DocuSign, Salesforce is a PLUS!