Credentialing Specialist (FL, Boca Raton)

State: Florida
Job Id: 6487782

MPLT Healthcare…Where Potential Soars, Culture Thrives, and Sales Meets Purpose!

A bit about who we are:

With years of healthcare and physician staffing experience, MPLT Healthcare has the knowledge, resources, and proven industry commitment to help facilities meet the increasing demands of today’s rapidly changing healthcare landscape. We specialize in placing highly qualified physicians and advanced practice clinicians in locum, locum-to-perm, and direct hire staff positions. We will always be people helping people as we strive to earn the long-term loyalty of our clients, providers, and employees through our dedication to selfless service, a relentless focus on quality, and a culture of excellence.

Some of our recent accolades include:

  • ClearlyRated’s 2024 Best of Staffing® Client Diamond Award
  • ClearlyRated’s 2024 Best of Staffing® Talent Diamond Award
  • South Florida Business Journal's 2024 Best Places to Work Honoree – Ranked #1
  • South Florida Business Journal’s 2023 South Florida Temporary Personnel & Staffing Agencies
  • South Florida Business Journal’s 2023 Top Private Companies in South Florida
  • Staffing Industry Analysts’ 2023 Largest Locum Tenens Staffing Firms in the U.S.
  • Staffing Industry Analysts’ 2023 Largest Healthcare Staffing Firms in the U.S.
  • Staffing Industry Analysts’ 2023 Fastest Growing Staffing Firms in the U.S.

Why you’ll love working here:

As a staffing company, we have the satisfying role of helping connect people with life-changing opportunities—and we have fun doing it! Our world-class company culture will offer you the training and support you need to thrive, professional development opportunities to guide you in your career, plenty of team-building fun, and highly rewarding incentives for putting in the work.

Now let’s get into the Credentialing Specialist role:

  • Reviewing and processing initial MPLT Healthcare applications for locum tenens physicians.
  • Re-credentialing existing MPLT Healthcare physicians.
  • Primary source verification of physician backgrounds by calling hospitals, licensing boards, medical schools, etc.
  • Ensuring timely and accurate submission of hospital privileging applications for each physician as it relates to each client.
  • Monitoring and reporting on the credentialing progress of each physician.
  • Your credentialing duties will include:
    • Scrutinizing provider applications and resumes for completion, consistency, and accuracy. This includes quickly identifying any discrepancies, gaps of employment and other challenges that could negatively impact our ability to credential a provider.
    • Running queries, reviewing NPDB reports, and conducting compliance and sanctions monitoring, as well as immediately notifying the recruiter and leaders of negative findings.
    • Mailing, faxing, and emailing to obtain verifications, references, and other pertinent data from appropriate sources in a timely manner.
    • Working closely with our physicians, client medical staff departments, and any third-party groups in order to follow up on outstanding items needed to complete files in a timely manner. This is to ensure that we meet applicable committee meeting dates and targeted start dates.
    • Conducting physician peer references over the phone to verify each provider’s clinical competencies.
    • Utilizing the CAQH database to enter and update physician data as needed for certain clients.
    • Responding in a timely manner to all requests from physicians, clients, or their medical staff services departments and MPLT Healthcare’s recruiters.
  • Your licensing duties will include:
    • Initiating the state board licensing process by completing as much of the licensing application as possible.
    • Preparing detailed cover letters with step-by-step application instructions on how to complete and return the application, including steps to acquire supporting documents.
    • Expediting the licensure application process by creating urgency via phone and email to collect relevant information in order to submit to the board and ultimately meet start date.
    • Coordinating submission of all verifications required by issuing state board by calling institutions listed in work and education history for accurate contact information in order to expedite on-time submittal of verification information.
    • Creating urgency with institutions (hospitals, universities, medical boards, etc.) through follow-up calls and online resources to expedite verification completion and submission to the issuing state board.
    • Following up with issuing state boards to assess licensure status and expected completion dates.

To excel as a Credentialing Specialist, you’ll need to come with:

  • At least two years of experience with medical credentialing processes. Locums experience is a plus.
  • Microsoft Office skills and experience with a CRM/ATS database.
  • The ability to create reports, analyze data and make recommendations.
  • Excellent interpersonal, verbal, and written communication skills, as well as presentation skills.
  • The ability to communicate and discuss information in a professional and sensitive manner with internal and external employees as well as other outside contacts.
  • mindset and the ability to consistently follow up on items.
  • The ability to work independently and with a team under pressure in a fast-paced environment.
  • A self-motivated mindset with the ability to work independently and make independent judgments and decisions within established guidelines.
  • The ability to organize and prioritize the workload while maintaining the ability to quickly pivot in order to meet necessary deadlines.

So…what else is in it for you?

We offer a competitive compensation package that includes medical and dental insurance, paid time off, a 401(k) plan, and other generous perks such as monthly team celebrations and quarterly recognition and awards.

MPLT Healthcare provides Equal Employment Opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, MPLT Healthcare complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.