Credentialing Specialist

About

Inform Diagnostics, a Fulgent Genetics Company, is a leading national pathology laboratory headquartered in Irving, Texas, with additional state-of-the-art laboratories in Boston, New York City, and Phoenix. With unparalleled quality and experience, Inform Diagnostics provides reliable, high-quality diagnostic services in various subspecialties. The company is profoundly impacting patient care, one diagnosis at a time.

Summary of Position

The Credentialing Specialist is responsible for the credentialing and licensing process for physicians of all Inform Diagnostics entities. These activities include processing provider applications and reapplications, initial mailing, review, and loading into the database tracking system, ensuring high quality standards are maintained.

Key Job Elements

• Complete, process, and submit state licensing applications to medical boards in order to obtain state medical licenses for both existing and new pathologists.
• Renew medical licensure, hospital privileges, and board certifications.
• Establish and maintain physician profiles with the Council for Affordable Quality Healthcare.
• Research and stay current on state licensure requirements and protocols.
• Develop and maintain relationships with company pathologists.
• Maintain complete files on pathologists for all company entities using OneApp Pro software database and spreadsheets.
• Enroll pathologists in Medicare/Medicaid and revalidate information as necessary.
• Complete and submit client credentialing applications for all company entities that require physician credentialing/privileging.
• Correspond with medical office staff, licensing agencies, education providers, attorneys and insurance carriers via use of phone, mail, and email methods to complete pathologist files.

Knowledge / Experience

• Bachelor's degree preferred.
• Two years of relevant work experience
• Knowledge of commonly used concepts of credentialing and licensing procedures.
• Demonstrated ability to deliver timely and accurate work in a deadline-driven environment.
• Excellent attention to detail, organizational, and time management skills.
• Ability to follow standard operating procedures (SOPs) for credentialing
• Proactive, works with a sense of urgency.
• Ability to present a professional demeanor.
• Proficient in Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of the Internet for business use.
• A high degree of human relations skills to interact across multiple facilities at various levels
• Commitment to the successful achievement of team and organizational goals through a desire to participate with and help other members of the team.
• Proficient verbal and written communication skills.
• Willingness to share and receive information and ideas from all levels of the organization.

This job description reflects management's assignment of essential functions. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.