Job Requirements

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

SUPERVISORY RESPONSIBILITIES:

• None

https://www.teamhealth.com/california-applicant-privacy-notice/