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.