Privileging Specialist

About the role

The Health serves as a foundational pillar within the Medical Staff Services Department, ensuring the integrity and efficiency of provider onboarding and revalidation. This role owns the complete lifecycle of provider data, from initial entry through ongoing maintenance and resolution of discrepancies within electronic records. The hire is responsible for safeguarding the accuracy and compliance of all provider documentation in alignment with both internal protocols and external regulatory demands. Success in this position directly supports Sevaro's mission to eliminate geographic disparities in stroke care by empowering clinicians with reliable administrative frameworks. The specialist acts as a critical communication conduit between healthcare facilities, providers, and internal departments to facilitate seamless operations. This position requires a proactive mindset capable of navigating complex healthcare environments while adhering to strict standards of confidentiality and accuracy. The individual in this role ensures that clinical teams can focus on patient care without being hindered by administrative bottlenecks.

Key facts

What you'll do

• Maintain electronic provider records with precision, ensuring all entries are updated timely, accurate, and compliant with internal and external standards.
• Create abbreviated curricula vitae specifically tailored for privileging purposes as requests arise and documentation needs evolve.
• Submit requests for conflicts of interest documentation to assigned sites following established internal processes and timelines.
• Register providers with state Patient Compensation Funds and coordinate communication with the risk management department to ensure compliance.
• Advise on site-specific training, orientations, certifications, or educational requirements necessary for privilege granting and renewal.
• Track the progress of all credentialing tasks to guarantee timely completion of privilege requirements and avoid operational delays.
• Review assignments for reappointments, enrollments, references, and other credentialing tasks within the OSS system and verify details personally when required.
• Complete all assigned tasks in a timely manner while demonstrating strong ownership and attention to detail in every deliverable.
• Facilitate resolution of outstanding items by collaborating closely with internal teams and external stakeholders across various healthcare facilities.
• Maintain up-to-date knowledge of site-specific details including meeting dates, workflows, and unique procedural nuances for each assigned facility.
• Update all related systems and documentation immediately when changes occur to ensure data integrity and process accuracy.
• Perform frequent follow-up via telephone, email, and other communication methods with providers, medical staff offices, and regulatory agencies as needed.
• Complete or facilitate the completion of pre-applications, initial applications, reappointments, add/change requests, and enrollment applications from start to finish.
• Prepare and organize all supporting and supplemental documentation required for successful credentialing and privileging outcomes.
• Manage current governmental health plan logins and connection requests to ensure access and compliance with billing and regulatory requirements.
• Add state licenses to the NPPES database accurately and promptly during the onboarding and update process.
• Participate in education sessions specific to corporate needs or job duties, whether conducted locally or remotely, as scheduling requires.
• Perform additional job-related duties as assigned, demonstrating flexibility and adaptability in a dynamic healthcare setting.
• Assist in audits and other administrative tasks as directed by management to support compliance and operational goals.
• Engage in ongoing professional development through education sessions to remain current on corporate policies and job-specific responsibilities.

Requirements

• Hold a high school diploma or equivalent qualification as the minimum educational attainment.
• Bring at least two to three years of professional experience in a similar role within healthcare or related administrative settings.
• Maintain a high level of confidentiality at all times when handling sensitive provider and patient information.
• Demonstrate strong organizational skills with the ability to manage multiple priorities and deadlines effectively.
• Show proficiency in Microsoft Excel and Word for daily documentation, reporting, and data management tasks.
• Exhibit professional written and verbal communication skills along with strong interpersonal abilities.
• Function effectively in remote work settings using a disciplined, results-oriented approach to productivity.
• Adhere strictly to Sevaro Health's standards for accuracy, compliance, and timely execution of all assigned tasks.
• Navigate complex healthcare environments while following established policies and procedures without deviation.
• Work independently and as part of a distributed team, maintaining alignment with corporate objectives and regulatory mandates.

Nice to have

• Knowledge of hospital credentialing processes and medical staff services is preferred.

Practical notes

This role supports United States based work with standard business hours. Compensation is set at $60,000.00 per year. The position is full-time.