About CertifyOS
:We are on a mission to change how the US healthcare industry deals with provider data. Our goal is to reduce the cost of healthcare by streamlining access to provider data and reduce administrative and regulatory burden on healthcare organizations.CertifyOS is revolutionizing the healthcare industry by laying the infrastructure upon which the next generation of provider-centric applications (network adequacy, accuracy, provider utilization, etc.) will be built. As innovative digital health plans and provider care models continue to scale and challenge traditional care models, the need for a centralized data infrastructure has never been greater.
Our platform will support the future of healthcare innovation by becoming the source of truth of provider data, and making that data easily accessible and actionable for the entire healthcare ecosystem.We have built an API-first, UI-agnostic, end-to-end provider network management platform automating licensing, enrollment, credentialing, and network monitoring. With direct integrations into 100’s of primary sources, we are uniquely positioned to enhance visibility into the entire provider network management process. Our team has more than 25+ years of combined experience building provider data systems at Oscar Health and are backed by top-tier VC firms who share our vision of creating a one-of-a-kind healthcare cloud that removes the friction surrounding provider data..At CertifyOS, we pride ourselves on fostering a meritocratic environment that ensures every voice has an opportunity to be heard.
Founded on the principles of trust, transparency and accountability, we aim to challenge the status quo at every step and are looking for purpose-driven team members to share our journey in redefining Healthcare data infrastructure.About the role:As a Operations Analyst (Credentialing), you will work closely with your team lead to manage the day-to-day tasks of processing provider credentialing and recredentialing. You will work to ensure verification of the professional licensing, training, and certifications of professional licensed independent practitioners, advanced practice professionals and others. This is a fully remote position.What you’ll do:
- Compile confidential, accurate primary sourced data to facilitate customers in the decision making process for practitioners/providers with health care plans, hospitals, surgery centers and/or other health care institutions. Position requires extensive, direct interaction with health plans, government agencies, practitioners/providers and customers.
- Process, review and maintain all practitioner/provider credentialing and re-credentialing files and offer solutions regarding the workflow of credentialing files.
- Enter and update practitioner/provider data in the credentialing database while adhering to input standards.
- Processes complete initial and recredentialing applications within the expected timeframes.
- Perform primary source verification in accordance with customer needs and applicable industry standards.
- Assure the confidentiality and integrity of all aspects of the credentialing program and process.
- Perform a variety of essential administrative functions for all aspects of the enrollment, credentialing, and health plan follow up processes.
- Must be able to interpret and communicate sensitive information in a timely manner and understand current state and federal regulatory requirements as they pertain to enrollment functions.
What you’ll need:
- Fluency in English
- A bachelors degree or 2+ years of relevant Provider Credentialing experience with proven success in the Healthcare industry
- Strong attention to detail
- Excellent written and verbal communication skills
- Strong work ethic, dependable, and reliable
- High energy, self-driven, problem solving, and positive attitude with a strong desire to improve processes by continued research
- The ability to meet deadlines and work under pressure
