Credentialing Coordinator I Nonexempt

Our promise to you:

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America

Address:

3100 E FLETCHER AVE

City:

TAMPA

State:

Florida

Postal Code:

33613

Job Description:

Populates, updates, and verifies the correctness and completeness of database information on an ongoing basis. Coordinates and provides administrative support for processing, verifying, and maintaining credentialing information for new applicants and re-applicants to all hospital sites. Performs and tracks primary source and other required verifications for all applicants according to established policies and procedures. Responds to customer inquiries and resolves problems within established policies and procedures. Prepares and provides client advisory reports, including status reports, expired items reports, and completed file reports to meet contractual time frames. Uses critical thinking skills to flag incongruent issues or information during credentialing and data entry tasks. Manages the integrity of the credentialing database and appropriateness of hard copy information received and provided to contracted entities. Produces tracking reports to detect and resolve work in process issues. Provides departmental administrative support to leadership in carrying out activities and coordinates completion of related projects. Supports the health system mission, values, and philosophy, maintaining adherence to professional confidentiality standards. Ensures information is maintained confidentially as required by local, state, and federal law. Maintains ongoing communication and feedback with all stakeholders, customers, and staff. Performs other duties as assigned.

Knowledge, Skills, and Abilities:

• Demonstrated experience in effectively providing medical staff services and support. [Required]
• Ability to communicate (verbal/written effectively at different levels of the organization. [Required]
• Demonstrated interpersonal skills and ability to support and work in collaboration with multiple sites as needed. [Required]
• Professional demeanor, business acumen, political astuteness, adaptability, and diplomacy combined with the ability to establish and maintain collaborative relationships across the organization. [Required]
• Demonstrated client management skills including customer service and physician relations. [Required]
• Team oriented with a high degree of initiative; a self-starter with demonstrated data entry, administrative skills, and proficiency in payroll, accounts payable, and accounts receivable. [Required]
• Highly detail-oriented and organized with analytical and critical thinking skills. The ability to produce and proof reports and type correspondence is essential. [Required]
• Results driven with the ability to effectively multi-task, manage conflicting priorities, and function in demanding, stressful, and fast-paced confidential environments. [Required]
• Computer skills and proficiency in MSOffice (Word, Excel, Access, PowerPoint, Outlook, document imaging (i.e., fax, scanner, Image Now, and knowledge of healthcare, hospital/provider operations, and managed care payer operations. [Required]
• General knowledge of healthcare, hospital and provider operations, managed care payer contracts and operations, NCQA requirements for delegated credentialing, CAQH, and MD Staff and/or other systems used to determine provider medical privileges. [Preferred]
• Prior experience in credentialing, privileging, practitioner database management, insurance (governmental and 3rd Party Payers, and additional language skills (i.e., Spanish is preferred.

Education:

• Associate [Preferred]
• High School Grad or Equiv [Required]

Field of Study:

• in Healthcare related field

Work Experience:

• 3+ in medical staff services, CVO, managed care credentialing or healthcare related experience [Required]

Additional Information:

• N/A

Licenses and Certifications:

• Certified Provider Credentialing Specialist (CPCS [Preferred]
• Certified Professional Medical Staff Management (CPMSM [Preferred]

Physical Requirements: (Please click the link below to view work requirements

Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$19.22 - $35.75

Background Screening Requirement (Florida Law

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida's background screening requirements at the Florida Care Provider Background Screening Clearinghouse:

https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.