Credentialing Specialist – Medical Staff Services – Orlando

  • Adventist Health System
  • Orlando, FL, USA
  • Apr 25, 2018

Job Description

Credentialing Specialist - Medical Staff Services - Orlando
Orlando seeks to hire Credentialing Specialist who will embrace our mission to extend the healing ministry of Christ.

Facility Profile:
Located on a lush tropical campus, our flagship hospital, 1,107-bed Florida Hospital Orlando, serves as the major tertiary facility for much of the Southeast, the Caribbean and South America. Florida Hospital Orlando houses one of the largest Emergency Departments and largest cardiac catheterization labs in the country. We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year.

Department Profile:
The Florida Hospital Orlando Medical Staff office provides executive leadership that develops the culture, sets the strategic direction and drives performance on the Orlando Campus.

Work Hours/Shifts:
Mon - Fri / 8a -5p

Job Summary:
Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. Manages the reappointment process of all members of the medical staff, including updates to credentialing database and privileges; Manages alignment and reinstatement process for medical staff appointees; manages additional privileges for Allied Health Professionals.

Knowledge, Skills, Education, & Experience Required:
  • Associate degree in business or healthcare administration, OR
  • Minimum of five years professional secretarial or administrative experience.
  • Strong organizational skills
  • Proficiency in oral and written English
  • Ability to work with people of various backgrounds and professional levels
  • Intermediate level computer skills such as Microsoft Word and Excel, Outlook
  • Ability to work independently and prioritize projects
  • Excellent communication skills, both oral and written
  • Bachelor's degree in business or healthcare administration (Preferred)
  • Experience in Credentialing or a Medical Staff Services office. (Preferred)
  • Experience with credentialing software (Preferred)
  • Medical Terminology (Preferred)
  • Understanding of credentialing principles and regulatory standards (Preferred)

Licensure, Certification, or Registration Required:
  • N/A
  • Certified Professional Credentialing Specialist (CPCS), or (Preferred)
  • Certified Professional in Medical Services Management (CPMSM). (Preferred)

Job Responsibilities:
Demonstrates through behavior Florida Hospital's Core Values of Integrity, Compassion, Balance, Excellence, Stewardship and Teamwork as outlined in the organization's Performance Excellence Program
  • Processes medical staff reappointments and Allied Health renewals as scheduled on approved schedule and as outlined in bylaws and department rules and regulations, including issuing of application packets, gathering of all required information, verifications, reviewing and assessing compliance, through completion of Board approval prior to the expiration of each individual's reappointment period.
  • Assists department chairmen in reviewing applications in conformance with bylaws and department rules and regulations in preparation for presentation to Credentials Committee, or Allied Health Professional Review Panel and gathers all additional requested information.
  • Performs recredentialing and verification of other entity providers for whom delegated credentialing is provided, in accordance with said entities' policies, and within their required deadlines on the same schedule as the medical staff as far as possible.
  • Coordinates the alignment process of new medical staff members and Allied Health professionals by monitoring on a monthly basis those members whose Primary Department is being recredentialed. Gathers all required reports, information, verifications, and obtains review by department chairman for submittal to Medical Executive Committee.
  • Processes requests for reinstatement of Medical Staff members and Allied Health professionals by generating necessary application within five (5) days of request. Upon return of application, gathers all required documentation and verifications, including department chairman review, within thirty (30) days of return of application, and forwards to next Credentials Committee.
  • Expirables - Manages expirables such as licensure, DEA certification, Board Certification, financial responsibility/malpractice insurance, PPD testing, life support certification, and others as may be determined for medical staff and allied health professionals on a monthly basis according to the Policy on Appointment, Reappointment and Clinical Privileges, the Policy on Allied Health Professionals, and standard operating procedures.
  • Performs other duties as assigned.

If you want to be a part of a team that is dedicated to delivering the highest quality in patient care, we invite you to explore the Credentialing Specialist opportunity with Orlando and apply online today.

Job Keywords:
Credentialing Specialist, Orlando