The Credentialing Quality Assurance Specialist plays a critical role in ensuring cliniciancredentialing files meet client standards prior to clearance. This role may support both internaland external onboarding teams by reviewing documentation, tracking quality trends, andproviding actionable feedback. The specialist will serve as a key partner in driving accuracy,compliance, and timely file completion, ultimately supporting a seamless clinician onboardingexperience.
· Review, approve, or deny credentialing assets submitted in the TCoD system (e.g., licenses, certifications, background reports, etc.,)· Ensure deal is moved to appropriate status (PCC)· Validate accuracy and completeness of documents based on facility-specific protocols· Communicate directly with Onboarding Specialists (internal and external) with clear, concise notes and rationale for any denied documentation· Ensure timely follow-up on corrected and resubmitted documents· Monitor and review suppressed items for accuracy· Monitor and review At-Risk asset documentation to ensure process was followed appropriately· Approve Pending OK items when appropriate· Communicate audit completion to Onboarding Specialists once file reviews are finalized, ensuring timely feedback and corrective actions· Confirm deal has been marked as ready to start appropriately· Contribute to continuous improvement efforts by tracking trends in denied documentation and identifying common issues· Assist with various projects based on business needs
· Ability to type 40-50 wpm· Experience working in a customer service environment· Strong team player and ability to work with others within and outside of team· Strong computer skills· Ability to multi-task· Great organizational skills· Close attention to detail· Able to meet deadlines· Able to manage a large and increasing workload· Excellent communication and grammatical skills
· Positive attitude and friendly demeanor
NoSponser
USD $22.50 - USD $26.50 /Hr.
Medical Solutions is an industry frontrunner, the third largest for healthcare staffing in the country (second largest in travel nursing and fourth largest in allied health). We combine services, strategy, and technology to tackle workforce needs. We serve acute-care hospitals, post-acute care facilities, community health centers, and other healthcare settings nationwide, connecting care from coast to coast. Our service offerings include contingent staffing, managed services, strike staffing, permanent placement, local contract, per diem, and international staffing.
With our strategic solutions and unwavering commitment to quality care, we help our clients find the perfect clinical, community, and cultural fit with their traveling clinicians and staff. Our clinicians receive the best service in the industry from recruiters invested in their professional and personal success. Contributing to our success is our team of employees who uphold our values and work for a mission they believe in, with pride of representing one of the most respected brands in the healthcare staffing industry—and doing so with heart and soul.
This combination of commitment and dedication to our purpose, coupled with our human-first approach has led us to be recognized as one of America’s Greatest Workplaces by Newsweek and Glassdoor’s 100 Best Places to Work. We are also a member of Training Magazine’s Training Hall of Fame for our commitment to nurturing our team’s growth as professionals and driving a culture of continuous learning within our organization.
To learn more about Medical Solutions, visit www.medicalsolutions.com.
