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Ayahealthcare
Privileging Specialist
operationsfull-timeRemote, US (PST hours)
SALARY
Not listed
WORK TYPE
remote
JOB TYPE
full-time
INDUSTRY
healthcare
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About the role
Who We Are
We’re a $8+ billion, rapidly growing workforce solutions provider in the healthcare industry. We deliver tech-enabled services that help healthcare organizations meet and manage their contingent labor needs. We build and manage tech-enabled marketplaces for national and local healthcare talent and deliver contingent labor management solutions through our proprietary software platform.
Responsibilities
- Manage the end-to-end privileging process for locum tenens physicians and advanced practice providers, ensuring compliance with client facility and Aya Locums requirements.
- Review provider applications, CVs, and supporting documentation for completeness, accuracy, and potential privileging risks.
- Prepare, submit, and track hospital privileging applications, proactively driving files to approval while meeting targeted start dates.
- Partner with providers, medical staff offices, clients, and internal teams to obtain required documentation and resolve outstanding items.
- Conduct and review primary source verifications and compliance requirements, including licensure, board certification, malpractice, and exclusion screenings.
- Monitor expiring licenses, certifications, privileges, and other time-sensitive documents to ensure ongoing compliance.
- Facilitates provider payer enrollment for clients by coordinating enrollment activities, monitoring application progress, and supporting timely payer approvals.
- Maintain accurate provider records and documentation within credentialing and compliance systems.
- Identify, troubleshoot, and escalate complex privileging issues while delivering exceptional customer service to internal and external stakeholders.
Required Qualifications
- 2+ years of direct locum tenens privileging experience across multiple specialties and healthcare systems required; 3+ years preferred.
- Bachelor's degree preferred; equivalent experience considered in lieu of education.
- Experience within a fast-paced, deadline-driven locum tenens, healthcare staffing, or managed service provider (MSP) environment.
- Experience working with hospital medical staff offices, credentialing departments, and healthcare facilities.
- Knowledge of Joint Commission, NCQA, payer enrollment, and medical staff office standards.
- Experience managing physician and advanced practice provider privileging files from application through approval.
- Ability to manage a high-volume workload while meeting deadlines and service level expectations.
- Strong attention to detail, organizational skills, and ability to identify and resolve issues proactively.
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