Human Resources Generalist/Credentialing Specialist

We are a busy Ear, Nose and Throat Practice located in Chesapeake, VA, and are in search of a Human Resources Generalist/Credentialing Specialist.

Applicant should have a minimum of two years of experience with HR, preferably in the medical field. Please review our job description below, and apply if you feel you are qualified.

Full benefit package, including PTO and Holiday pay. No weekends required.

HUMAN RESOURCES GENERALIST:

The job generally requires the ability to perform the following duties:

• Recruiting and staffing logistics
• Organizational and space planning
• Performance management and improvement systems
• Organization development
• Regulatory compliance and reporting
• Employee orientation, development, and training
• Policy development and documentation
• Employee relationship management
• Committee facilitation
• Company-employee communication
• Compensation and benefits administration
• Employee safety, welfare, and wellness education

HR generalists originate and lead HR practices and objectives that provide an employee-oriented, high-performance culture.

CREDENTIALING SPECIALIST:

• Compiles and maintains current and accurate data for all providers.

• Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed.

• Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.

• Maintains corporate provider contract files.

• Maintains knowledge of current health plan and agency requirements for credentialing providers.

• Sets up and maintains provider information in online credentialing databases and system.

• Tracks license and certification expirations for all providers to ensure timely renewals.

• Ensures practice addresses are current with health plans, agencies and other entities.

• Processes applications for appointment and reappointment of privileges to The Doctors Clinic (ASC).

• Tracks license, DEA and professional liability expirations for appointed ASC providers.

• Maintains ASC appointment files, and information in credentialing database.

• Audits health plan directories for current and accurate provider information.

ADDITIONAL RESPONSIBILITIES:

• Maintains confidentiality of provider information.

• Provides credentialing and privileging verifications.

• Performs other duties as assigned

Skills:

• Knowledge and understanding of the credentialing process.

• Ability to organize and prioritize work and manage multiple priorities.

• Excellent verbal and written communication skills including, letters, memos and emails.

• Excellent attention to detail.

• Ability to research and analyze data.

• Ability to work independently with minimal supervision.

• Ability to establish and maintain effective working relationships with providers,

management, staff, and contacts outside the organization.

• Proficient use of Microsoft Office applications (Word, Excel, Access) and internet.