Specialist, Credentialing Support Services in Brentwood, TN at Health Support Center

Date Posted: 5/3/2018

Job Snapshot

Job Description

Health Support Center

POSITION SUMMARY:

The Specialist, Credentialing Support Services responsible for credentialing and/or re-credentialing healthcare providers for initial and re-appointment Medical Staff Membership and/or privileges as well as ensuring renewals are completed to maintain compliance.

ESSENTIAL FUNCTIONS:  To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation.  
  • Maintain regular cooperation and compliance with regulatory, accrediting, and membership-based organizations.
  • Process initial and re-appointment application packages for existing providers using MD-Staff, within a specific time frame to verify accuracy and ensure compliance.
  • Ensure healthcare professionals and services meet all established federal and state standards, as well as National Committee for Quality Assurance (NCQA) standards.  
  • Collaborate and work closely with the medical staff office in each facility.  
  • Monitor and update medical licenses and malpractice insurances for providers by set deadlines.
  • Ensure timely renewals on licenses and certifications and coordinate follow up if needed to obtain outstanding items.
  • Communicate with Medical Staff Personnel (MSP) to obtain the necessary information needed to update and complete provider files.
  • Maintain and monitor the database that includes pertinent education, training, experience, and licensure content.
  • Communicate with providers to ensure that records are timely and consistent.
  • Regular and reliable attendance.
  • Perform other duties as assigned.
Additional Information: 
  • Position serves both internal co-workers and external customers, clients, patients, contractors, and vendors.
  • Access to and/or works with sensitive and/or confidential information
  • Exhibit a basic understanding of healthcare regulatory and compliance (e.g., HIPAA).  Skilled in the application of policies and procedures.  Knowledge of Business Office Standards and Recommended Practices.

Job Requirements

KNOWLEDGE, SKILLS & ABILITIES: The requirements listed below are representative of the knowledge, skills and/or abilities required.
  • High School Diploma or GED equivalency.
  • Minimum of 2 years experience in a similar role
Skills and Abilities:

Business Mathematical Skills -- Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages and to draw and in-terpret graphs. 

Moderate Computer Skills -- Frequent use of electronic mail, word processing, data entry, spreadsheets, graphics, etc. Ability to create, maintain and incorporate simple functions into documents, spreadsheets, databases, and presentations to support business objectives.

Moderate Computer Skills -- Frequent use of electronic mail, word processing, data entry, spreadsheets, graphics, etc. Ability to create, maintain and incorporate simple functions into documents, spreadsheets, databases, and presentations to support business objectives. 

Routine Business Problems -- Problems encountered are routine, somewhat repetitive and generally solved by following clear directions and procedures.

Job Specific Impact -- Decisions generally affect own job or assigned functional area.

Moderate Independent Judgement -- Results are defined; sets personal goals and determines how to achieve results with few or no guidelines to follow; supervisor/manager provides broad guidance and overall direction.

Moderate Planning/Organization -- Handle multiple tasks simultaneously with moderate complexity.

PHYSICAL AND MENTAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities. 

While performing the duties of this job, the employee is occasionally required to stand; walk; sit for extended pe-riods of time; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, bend, crouch or crawl; talk or hear; taste or smell.  The employee must occasionally lift and/or move up to 20 pounds.  Repetitive motion of upper body required for extended use of computer. Required specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. 

WORK ENVIRONMENT AND TRAVEL REQUIREMENTS: 

Work environment characteristics described here are representative of those that an employee may encounter while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.
Works in well-lit, ventilated and climate controlled office environment with routine office equipment; some equipment has moving mechanical parts.
In hospital environment, may be exposed to hazards and unusual elements, which may include but are not limited to bloodborne pathogens and / or contagious illnesses, toxic chemicals, and biohazardous materials which may require extensive safety precautions and the use of protective equipment.

Noise level in the work environment is typical for an office and/or hospital environment.
Minimum overnight travel (up to 10%) by land and/or air.


Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran