Credentialing Specialist

Role Summary

Status: Full-Time
Location: Bayfront Hospital, Sr.Petersburg, FL
Schedule: Monday-Thursday 8am-4:30pm, Friday 8-4pm
Role is on-site with hybrid potential after training
Orlando Health is an ordinary people with extraordinary individuality, bringing help, healing, and hope to their patients, families, and communities.

About the Role

Responsible for providing support to the medical staff and allied health staff with credentialing and privileging activities for initial and reappointment, assuring compliance to regulatory and accreditation standards, as well as the Orlando Health Bylaws, Rules & Regulations.

Essential Functions

• 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.
• Obtains timely and accurate primary source verification for all credentialing functions.
• Completes accurate and timely data entry of all credentialing activity into physician credentialing systems.
• Interacts with IS Consultant to transition all manual processes to completion of processes within the physician credentialing data system.
• Maintains medical staff database for all physician and allied health credentialing and privileging activities.
• 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 Medical Staff Supervisor.
• Develop and distribute reports as necessary utilizing physician database.
• Timely completion of all assigned duties.
• Interacts with and provides support to department chairmen and leadership chairmen in the preparation of meeting calendars and meeting notices.
• Provides clerical support as needed to the Chief of Staff and Vice Chief of Staff in scheduling ad hoc meetings.
• Advances department meeting minutes to the appropriate leadership committee.
• Manages various human resources functions including hiring, work assignments, coaching plans, and performance counseling.
• 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.

Skills

• Proficiency in Microsoft Word, Excel, Internet
• Significant proficiency in credentialing data system

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 two (2) years of clinical experience.
• Education: 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.

Benefits

All Inclusive Benefits (start day one): Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.

Forbes Recognizes Orlando Health as a Best-In-State Employer: Orlando Health is the top healthcare organization in the Metro Orlando area to make the prestigious list. "We are proud to be named once again as a best place to work," said Karen Frenier, VP (HR).