Ayahealthcare
Sr. Privileging and Credentialing Specialist
operationsfull-timeRemote, US
SALARY
Not listed
WORK TYPE
remote
JOB TYPE
full-time
INDUSTRY
healthcare
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About the role
The Privileging and Credentialing Specialist is responsible for managing the end-to-end privileging process for locum tenens physicians and advanced practice providers, ensuring compliance with client facility requirements, accrediting agency standards, and Aya Locums policies. This role requires prior experience navigating hospital privileging processes, working directly with medical staff offices, and managing high-volume provider files in a fast-paced environment. Success in this role requires strong critical thinking and problem-solving skills to proactively identify issues, navigate complex privileging requirements, and drive timely resolutions while maintaining exceptional accuracy and customer service.
Responsibilities
- Manage the end-to-end privileging and credentialing 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 / credentialing 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 provide
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