Credentialing Specialist in Sunrise, FL at HealthTrust  

Date Posted: 2/18/2018

Job Snapshot

Job Description

GENERAL SUMMARY OF DUTIES

It is the responsibility of the DHP Credentialing Specialist to ensure that all DHPs have the proper credentials (including licenses, certificates, security clearances etc.) before entering a facility for work. The DHP Credentialing Specialist is responsible for requesting the proper credentialing documents, verifying their validity, entering and maintaining them in the system, monitoring when they expire.

The Credentialing Specialist acts as the HealthTrust liaison between Dependent Professionals and HCA facilities for receiving and processing new credentialing applications, renewals and updates.  The DHP Credentialing Specialist is responsible for timely response to phone and email inquiries from DHPs, agencies and facilities.  Works closely with DHPs and facilities to correct deficiencies, which includes educating agencies and DHPs on annual mandatory division requirements. The DHP Credentialing Specialist ensures access and provision of patient care services to HCA-affiliated facilities is provided by DHPs who are qualified, competent, oriented to the facility setting.  Ensures DHPs are appropriately supervised, and periodically evaluated in their provision of safe, effective, efficient, and appropriate care, treatment, or services, and assures that access to any safety- or security-sensitive areas of a HCA-affiliated facility is granted only to authorized, non-employees.

SUPERVISOR – Lead Credentialing Specialist

Supervises – None

ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:

  • Responsible for processing all initial and renewal applications for DHPs requesting access to HCA facilities

  • Maintains set production and quality standards

  • Verifies that all submitted credentials are current and complete

  • Performs primary source verification on all credentials, including license and applicable certifications

  • Maintains accurate records of all files in Staff PM system

  • Evaluates all GIS Backgrounds and ensures proper flagging is assigned if applicable

  • Ensures all files are processed via a paperless process using Adobe Professional

  • Commits all DHP completed files to OnBase Imaging System

  • Communicates applicable updates and notices to agencies

  • Works closely with Division Lead to assist HCA facilities on all QRS and JC audits

  • Monitors expiration dates of credentials

  • Creates ad hoc reports as requested

  • Maintains privacy and confidentiality (intentional or unintentional) of company and employee information in verbal, written, and electronic form.  Limits access to all information to job-related on a need to know basis

  • Participates in special projects as needed and performs other duties as assigned.

  • Notifies respective senior manager of problem-causing trends with vendors on items needing attention

Job Requirements

KNOWLEDGE, SKILLS & ABILITIES – This position requires the following minimal requirements:

  • Excellent oral and written communication skills

  • Excellent customer service skills

  • Ability to multi-task and prioritize

  • Ability to work well within a team environment and independently

  • Strong knowledge and experience with Microsoft Office, Outlook, Excel, general office products

  • Ability to learn new software programs

EDUCATION – High school education or GED Equivalent Required

EXPERIENCE – One to three years in a related field.

CERTIFICATE/LICENSE – None