Credentialing Specialist – Medical Staff Services – Winter Park at AdventHealth

Date Posted: 8/9/2019

Job Snapshot

Job Description

Credentialing Specialist – Medical Staff Services – Winter Park

AdventHealth Orlando seeks to hire a 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 AdventHealth Orlando, serves as the major tertiary facility for much of the Southeast, the Caribbean and South America. AdventHealth 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 FH Medical Staff Office (MSO) develops, manages, performs, and directly supports governance, and credentialing and privileging activities related to over 2,500 Medical Staff members and Advanced Health Practitioners (AHP). The MSO supports the FH organized Medical Staff leadership and committees by providing expert consultation and ensuring its leaders and members adhere to the FH Medical Staff Bylaws, Rules and Regulations, and all pertinent policies. MSO are responsible for remaining current and complying with all state, federal and non-federal national regulations and requirements on credentialing processes. Ensures that all Medical Staff and AHP members are properly vetted according to the requirements of the Medical Staff Bylaws, The DNV, State of Florida, Centers for Medicare and Medicaid Services (CMS), and other regulatory requirements by providing primary-source and accurate verification services.

Work Hours/Shifts:

8am – 5pm; Monday – Friday

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:

  • 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
  • Associate degree in business or healthcare administration, OR
  • Minimum of five years professional secretarial or administrative experience.
  • Medical Terminology (preferred)
  • Understanding of credentialing principles and regulatory standards (preferred)
  • Bachelor’s degree in business or healthcare administration (preferred)
  • Experience in Credentialing or a Medical Staff Services office (preferred)
  • Experience with credentialing software (preferred)

Licensure, Certification, or Registration Required:

  • Certified Professional Credentialing Specialist (CPCS) (preferred), or
  • Certified Professional in Medical Services Management (CPMSM) (preferred)

Job Responsibilities:

Demonstrates through behavior AdventHealth’s Core Values of Keep Me Safe, Love Me, Own It, Make It Easy
  • 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 AdventHealth Orlando and apply online today.

Job Keywords:

Credentialing Specialist, Medical Staff Services, Winter Park

Position Location:  Orlando
Job:  Administrative / Business Support
Organization:  AdventHealth Central Florida
Primary Location:  US-FL-Orlando
Schedule:  Full-time
Shift:  Day
Job Level:  Staff / Associate
Education Level:  None
Travel:  No
Job Posting:  Aug 8, 2019, 2:56:26 PM

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