Credentialing Specialist- Remote

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Job description

TeamHealth has ranked three years running as "The World's Most Admired Companies" by Fortune Magazine and one of America's 100 Most Trustworthy Companies by Forbes Magazine in past years. TeamHealth, an established healthcare organization is physician-led and patient-focused. We continue to grow across the U.S. from our Clinicians to our Corporate Employees and we want you to join us.

JOB DESCRIPTION OVERVIEW:

The Credentials Specialist is an administrative position coordinating facility specific medical staff office and/or non-privilege post-acute applications, including Advanced Practice Clinicians (APC) Supervisory paperwork requirements, for clinicians who have been recruited to work at facilities wherein TeamHealth's services are provided. The position requires disciplined follow-up, clinician and medical staff office / facility interface, organization skills and detailed documentation.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Carries out the process as outlined in the TeamHealth Coordination of Credentials Policies and Procedure Manual
• Establish working relationships with internal and external personnel to facilitate all aspects of facility application processes as it relates to receiving privileges or approvals to work at a facility (ies) and maintaining the privileges.
• Collaborate with clinicians and/or other internal/external resources if/when a new state license is needed for clinician(s)
• Coordination, receipt, and data entry of clinician information via standardized processes in the credentials software system(s) for the purpose of ensuring clinician information is accurate and up-to-date
• Ensures current documentation is on file for all contracted clinicians and all pertinent documentation is forwarded to appropriate privileging and non-privileging facilities for initial privileges / approvals and reappointments.
• Facilitates and tracks the entire facility application and reappointment process and documents accordingly.
• Initiates and ensures malpractice coverage for clinicians
• Ensures facility requirements are met in order to present applications to facilities' Medical Staff Offices or Post-Acute places of service in accordance with quality standards
• Prepares and ensures accuracy of clinician applications for hospital privileges / approvals.
• Performs follow-up per guidelines with hospitals and post-acute facilities. Notify stakeholders: Onboarding ,Provider Enrollment, VPOs, FMD's, RMD, scheduler, and recruiters about the credentialing status
• Maintains Credentials database(s) to identify and disseminate to others (onboarding, provider enrollment, recruiting, scheduling, contracting) hospital privilege / approval report status
• Coordinates, completes, and follows-up on the reappointment process for hospitals.
• Ensures appropriate APC and Supervisory paperwork is complete, based on clinician type and the requirements of TeamHealth, State(s) and Facility(ies)
• Ensures appropriate state ratio(s) are maintained for APC and Supervisory relationships
• Maintains personal adherence to professional confidentiality standards established within the Department and in accordance with legal, ethical, and facility policies
• Interfacing with clinicians, Onboarding and other departments as needed
• Performs or assists with special projects and other duties as requested or assigned by management.
• Participates in an integrated work team as a responsible team member
• Assists in the facilitation of the team process at TeamHealth by serving as an active member of team. This includes attending all team related meetings; participating in team goals; being flexible and adaptable to change; establishing trust and respect for other team members; placing team needs first; and by completing all necessary training
• Follows the norms and guidelines established by the team for communication, production, efficiency, conflict resolution, decision-making, problem-solving, and interpersonal relations

Note: In some smaller regions and service lines a Credentials Specialist might fill different roles. Including to but not limited to Verification Specialist and Credentials Support.

QUALIFICATIONS / EXPERIENCE:

• Two (2) years of college (specifically business courses) or
• One (1) to three (3) years of experience in a medical staff office or credentials position
• Excellent organization skills with the ability to handle multi-tasks
• Excellent interpersonal skills
• Excellent negotiation and persuasion skills
• Excellent verbal and written communication skills
• Good computer skills (word-processing, spreadsheet, database management)
• Ability to attend to detail
• Ability to adapt to flexible work schedules and frequent interruptions
• Ability to problem solve, make decisions, and effectively communicate decisions
• Ability to coordinate and meet deadlines and deal with stressful situations; and
• Ability to work on a team
• Assertive and confident communication skills
• Ability to handle multiple tasks and deadlines
• Ability to adapt to rapid change
• Ability to handle confidential data
• Legible Handwriting

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