Lead Credentialing Specialist in Sunrise, FL at HealthTrust  

Date Posted: 5/16/2018

Job Snapshot

Job Description

GENERAL SUMMARY OF DUTIES : The Lead Credentialing Specialist will oversee the consistent application and credentialing verification processes for assigned Divisions.  The lead must also serve as the HealthTrust liaison between HCA facilities Human Resources, Medical Staff Office personnel, Dependent Professionals, and external customers.  This position will be responsible for continuously reviewing workflows and implementing process improvements.  The lead is responsible for monitoring established metrics for DHP Credentialing Specialists and ensuring proper tools are provided to meet production goals.  Ensures rapport is established with all facilities in assigned divisions as well as with division-specific agency contacts.

SUPERVISOR – Credentialing Manager

Supervises – Credentialing Specialists

ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:

  • Serves as primary contact to all HCA HR and MSO personnel regarding the DHP Credentialing Process
  • Establishes relationships with key personnel at all agencies within assigned divisions
  • Closely monitors and ensures high compliance percentage for assigned divisions
  • Responsible for assigning all initial and renewal applications for DHPs requesting access to HCA facilities
  • Monitors and ensures DHP credentialing specialists high production and quality standards
  • Maintains effective communication with all Division leadership via scheduled calls to ensure uniformity with the credentialing process
  • Works closely with Division on annual review/revision of mandatory division requirements
  • Works closely with facilities in preparation of and during all QRS and JC audits
  • Maintains accurate records of all files in Staff PM; records all activities as applicable in the diary
  • 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
  • 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 DHP Credentialing 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 manage stress appropriately and make decisions under pressure
  • Ability to lead, mentor and motivate team members
  • 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 –Three years in a related field.

CERTIFICATE/LICENSE – None