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Credentialing Specialist

Company: TeamHealth
Location: Knoxville
Posted on: January 15, 2022

Job Description:

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 ManualEstablish 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-dateEnsures 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 cliniciansEnsures facility requirements are met in order to present applications to facilities' Medical Staff Offices or Post-Acute places of service in accordance with quality standardsPrepares 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 statusMaintains Credentials database(s) to identify and disseminate to others (onboarding, provider enrollment, recruiting, scheduling, contracting) hospital privilege / approval report statusCoordinates, 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 relationshipsMaintains personal adherence to professional confidentiality standards established within the Department and in accordance with legal, ethical, and facility policiesInterfacing with clinicians, Onboarding and other departments as neededPerforms or assists with special projects and other duties as requested or assigned by management.Participates in an integrated work team as a responsible team memberAssists 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 trainingFollows the norms and guidelines established by the team for communication, production, efficiency, conflict resolution, decision-making, problem-solving, and interpersonal relationsNote: 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) orOne (1) to three (3) years of experience in a medical staff office or credentials positionExcellent organization skills with the ability to handle multi-tasksExcellent interpersonal skillsExcellent negotiation and persuasion skillsExcellent verbal and written communication skillsGood computer skills (word-processing, spreadsheet, database management)Ability to attend to detailAbility to adapt to flexible work schedules and frequent interruptionsAbility to problem solve, make decisions, and effectively communicate decisionsAbility to coordinate and meet deadlines and deal with stressful situations; andAbility to work on a teamAssertive and confident communication skillsAbility to handle multiple tasks and deadlinesAbility to adapt to rapid changeAbility to handle confidential dataLegible HandwritingSUPERVISORY RESPONSIBILITIES: NonePHYSICAL / ENVIRONMENTAL DEMANDS: Job performed in a well-lit, modern office settingOccasional lifting/ carrying (15 pounds or less)Occasional standing/ bending/ stooping/ reachingModerate to high stress levelsModerate to prolonged use of the telephoneProlonged sittingProlonged work on a PC/ ComputerSome overtime requiredSome travel maybe requiredDISCLAIMER: The above information on this description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job. Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.

Keywords: TeamHealth, Knoxville , Credentialing Specialist, Other , Knoxville, Tennessee

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