TeleSpecialists · 2 days ago
Internal Credentialing Specialist
TeleSpecialists is transforming healthcare delivery as the nation's largest and fastest-growing digital healthcare leader. The Internal Credentialing Specialist is responsible for the completion of all new physician applications and ensures that all provider information is complete and accurate, maintaining appropriate documents within the credentialing system.
Hospital & Health Care
Responsibilities
With the guidance of the Internal Credentialing Manager will complete the credentialing verification process for all physicians applying for a Tele-Neurology and Tele-Psychiatry contract
Identifies and analyzes the physician information received to ensure accuracy
Enters, logs, and scans information into credentialing system for initial, updated, and maintenance processes
Ensures that all credentialing verifications are obtained via primary source verifications:
All training, expired, and current state licenses
All past and current DEA, CDS, and CSR when applicable
Board certifications
Malpractice and Claims History for insurance carriers for the last 10 years
Sanction Checks (OIG and SAM)
Graduate, Medical School, Internship, Residency, and Fellowship(Education and Post-graduate training)
3 peer references
Complete a NPDB Self-Query
FCVS, ECFMG, USMLE, NBME, NBOME, if applicable
Background Check
Obtains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all physicians during the Internal Credentialing process
Tracks the credentialing application process in order to promote compliance, process enhancement, and efficiency
Follows up on any missing information needed to complete the credentialing process
Ensures departmental guidelines are followed to support all Internal Credentialing policies and procedures
Makes leadership aware of any potential derogatory issues identified during the credentialing process and works in collaboration with practitioner to document/resolve the issue
Other duties as assigned
Qualification
Required
Ability to interact with internal and external customers
Flexible and adaptable in regard to learning and understanding new technologies
Highly analytical and detail-oriented with ability to demonstrate command of details and to articulate those details at a higher level
Strong written, oral and interpersonal communication skills
Highly self-motivated, directed and proactive
Keen attention to detail
Ability to effectively prioritize and execute tasks in a high-pressure environment
Experience working both independently and, in a team-oriented, collaborative environment
Able to communicate effectively within department and with members of interdisciplinary teams
Ability to work independently and proactively in a fast-paced, dynamic environment
Proven analytical and problem-solving abilities
High School Diploma or equivalent required
Microsoft Office Suite knowledge
Credentialing software knowledge
Prolonged periods of sitting at a desk and working on a computer
Must be able to lift 15 pounds at a time
Preferred
Hospital Privileging Medical Staff Office, Credentialing, or Licensing experience
Sales Force experience
Certified Provider Credentialing Specialist (CPCS) through National Association of Medical Staff Services
Benefits
Medical, Dental and Vision benefits
401k match
Paid Vacation
Leadership Training Classes
Mentorship Program
Tuition Reimbursement
Company
TeleSpecialists
Telemedicine Services Company
Funding
Current Stage
Growth StageRecent News
TeleSpecialists
2025-10-27
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