Credentialing Specialist - Land O' Lakes, FL

Florida Medical Clinic

LAND O LAKES, Florida

JOB DETAILS
SKILLS
Accreditation Standards, Americans with Disabilities Act (ADA), Clinical Medicine, Customer Support/Service, Data Entry, FMLA (Family and Medical Leave Act of 1993), Government Standards, High School Diploma, Leadership, Maintain Compliance, Managed Care, Medical Billing, Medical Office, Medical Terminology, Medical Treatment, Microsoft Excel, Microsoft Word, Performance Analysis, Performance Management, Policy Development, Procedure Development, Regulations, Regulatory Compliance, Time Management, Trend Analysis, Tuition Reimbursement
LOCATION
LAND O LAKES, Florida
POSTED
3 days ago
Position Summary:

We're Hiring!

Florida Medical Clinic Orlando Health

 

Job Title: Credentialting Specialist

Status: Full Time -Monday - Friday 8:00AM to 5:00PM

Department: Administration

Location: *Onsite located at 2150 Via Bella Blvd, Land O' Lakes, FL*

 

Job Summary: Responsible for the administration and coordination of all credentialing, reappointment/recredentialing and delegated credentialing activities. Ensures the needs of medical staff and managed care offices are met through efficient processes, assuring compliance to accreditation standards, government agencies, as well as Orlando Health bylaws, rules & regulations.

 

Why is Florida Medical Clinic Orlando Health your best place to work?

 Education & Career Growth – Tuition reimbursement, Public Service Loan Forgiveness (PSLF), and leadership development programs.
 Health & Wellness – Comprehensive medical, dental, vision, free virtual visits, and well-being programs.
 Financial & Retirement – Up to 5% employer match on retirement contributions.
 Work-Life Balance – Four weeks of paid parental leave, PTO, and flexible leave options.
 Family & Pet Support – Fertility benefits, adoption assistance, backup care for children/elders/pets, and pet insurance.


Essential Functions
Performs credentialing functions as outlined by Orlando Health management in accordance with established policy, procedures,
and protocols.
Performs timely and accurate primary source verification in addition to credentialing functions.
Completes accurate and timely data entry of all credentialing activity into credentialing database.
Provides exceptional customer service to physicians and physician office staff members as well as internal customers, such as
members of other departments. Educates physicians and physician office staff on the credentialing process and maintains
ongoing contact with these individuals throughout the process.
Identifies trends and assists in the development of action plans for purpose of performance improvement. Evaluates processes
in departmental policies & procedures and makes recommendations for changes to management. Develop and distribute
reports as necessary utilizing credentialing database. Timely completion of all assigned duties.
Maintains credentialing and reappointment/recredentialing files.
Other duties as assigned
Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal,
state, and local standards.
Maintains compliance with all Orlando Health policies and procedures.


Other Related Functions
COMPLEXITY OF WORK: Requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Must be
able to work in a stressful environment and take appropriate action.
Knowledge of medical credentialing and privileging procedures and standards.
Knowledge of accreditations/government agencies standards and Orlando Health bylaws, rules & regulations.
Assumes responsibility for professional growth and development.
Education/Training
High school graduate or equivalent.
Knowledge of medical terminology.


Licensure/Certification
None.


Experience
Three (3) years experience credentialing/privileging or;
One (1) year of credentialing/privileging experience and/or two (2) years of clinical experience.
Associate degree in business, health care, accounting or related field may be substituted for two (2) years of experience.
Bachelor degree in health, business or related field may be substituted for three (3) years of experience.
Proficiency in Microsoft Word, Excel, Internet and significant proficiency in credentialing data system.

About the Company

F

Florida Medical Clinic

At Florida Medical Clinic, your life is our specialty. Our team of compassionate, experienced physicians offers a comprehensive range of healthcare services. By specializing in everything from family practice and internal medicine services to cardiology, gastroenterology, sports medicine, plastic surgery, and beyond, all within a single, clinically integrated network, our team streamlines every aspect of your health care. There’s only one name you’ll need to remember for all of your medical needs: Florida Medical Clinic.

What Does FMC have to offer its employees?

We offer a wide choice of compensation and benefit programs that are among the best. From competitive salaries to retirement plans. We make every effort to take care of the people who make our company great.

  • Generous paid time off(including holidays)
  • 401K plan with annual 3% Employer contribution after one year of employment
  • Gives you an employer that you will have pride in working for
  • Excellent training programs and opportunities for growth
  • Medical Plans including:
    • Employer Contributions to HSA high deductible plan
    • Discounts at our medical facilities
    • Cigna Open Access OAPIN & OAP plans
    • Wellness Programs with incentives
  • Company sponsored Life Insurance with buy-up provisions
  • Dental, Vision, Long and Short Term Disability, Accident & Illness policy options
  • Gives you an employer that you will have pride in working for
  • Values and appreciates its employees
  • Provides a reputation for superior health care and quality service

We are also a company that strongly believes in giving back to the community in which we live and work.  The Florida Medical Clinic Foundation of Caring supports individuals, children and families in need.  The foundation has invested $2 million and 1,000s of volunteer hours in helping children, families and those in need.

COMPANY SIZE
1,500 to 1,999 employees
INDUSTRY
Healthcare Services
FOUNDED
1993
WEBSITE
http://www.floridamedicalclinic.com