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Credentials Specialist in Knoxville, TN at TeamHealth

Date Posted: 6/25/2019

Job Snapshot

Job Description

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.

 

 

Job Requirements

  • 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