Envision Healthcare

CREDENTIALING COORDINATOR III

Job Locations US-FL-Fort Lauderdale
Company EVPS
Requisition ID
2023-32815
Category
Medical Office Support

Overview

Credentialing Coordinator III

Envision Healthcare

THIS POSITION IS 100% REMOTE!

 

Envision Healthcare is a leading national medical group focused on delivering high quality care to patients when and where they need it most. More than 30,000 clinicians and clinical support teammates call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country.

 

Through Envision Physician Services and AMSURG, our clinician-led organization is changing the face of healthcare by delivering high-quality care that puts the patient first.

 

Envision’s core values drive continual advancement and ingenuity across the enterprise:

  • Be Curious-embrace learning, seek out diversity of thought, listen openly, ask questions, and ask for feedback
  • Instill Trust-have the hard conversation, presume good intent, honor commitments, and do the right thing for patients and each other
  • Pursue Extraordinary-challenge the status quo, champion change, innovate and constantly aim higher
  • Care Deeply-serve patients, partners, communities, and each other with empathy, compassion, and respect
  • Embrace Teamwork-work cross-functionally, break down walls, develop others, be inclusive and unite to improve patient health
  • Inspire Joy-seek fulfillment and the joy of medicine, appreciate others, celebrate wins, and promote wellness and belonging

Benefits

We offer you an outstanding total compensation package, and a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits package includes: medical, dental and vision, life & disability, 401k, HSA, Flexible Spending and an Employee Assistance Program.

If you are looking for a stable, fast-paced, growing company in the healthcare industry that is committed to innovation, excellence and integrity, then this may be a great next step in the advancement of your career.

The Credentialing Coordinator III is responsible for ensuring all providers are processed/credentialed prior to start date (i.e. Credentialing support of Employment, Hospital, and Licensing Applications).  Maintain communication with Internal/External customers (MSO’s, Client Service, State Boards) ensuring accuracy of the Applications (its Affiliates, Managed Entities etc.) and creating efficiency for the on-boarding process. 

Responsibilities

  • Responsible for Internal Audits
  • Ensure Visual Displays are available and accessible to all.
  • Process Improvement - Education
  • Metrics Data Integrity/Tracking
  • Complete and review with accuracy and thoroughness all new hires and additional locations/boards for credentialing and re-credentialing applications within timeframe.
  • Responsible for notification to appropriate parties once received.
  • Responsible ensure MSO (Medical Staff Offices), Credentialing Database is updated and current.
  • Ensure primary source verifications occur for internal processing as well as external customers (i.e. MSO’s & State Boards)
  • Provide timely follow-up to obtain documentation required.
  • Credentialing (within 180 days) & Re-credentialing within 36 months.
  • Coordinate internally to ensure complete information is received.
  • Ensure Credentialing & Re-credentialing is processed in accordance with NCQA and Company Standards.
  • Assist and prepare for NCQA audit.
  • Additional projects as needed.
  • Reads and abides by the company’s code of conduct, ethics statements, employee handbook(s), policies and procedures and other corporate mandates, including participation in mandatory training programs.
  • Reports any real or suspected violation of the corporate compliance program, company policies and procedures, harassment or other prohibited activities in accordance with the reporting policies of the company.
  • Obtains clarification of policy whenever necessary and may use the resources available through the Compliance, Human Resources or Legal Department to do so.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Good organizational skills
    • Follow up in a timely manner on open items
    • Able to effectively prioritize work on a daily basis 
    • Communicate and work well in a team environment
    • Meet established production and quality goals/metrics

    Education/Experience:

    • High School Diploma or General Education Degree (GED) and 5 or more years of related experience

     

    Computer Skills:

    To perform this job successfully, an individual should have knowledge of:

    • Microsoft Office Suite
    • Credentialing Software

     

    Certificates and Licenses:

  • Certified Provider Credentialing Specialist (CPCS) through National Association of Medical Staff Services a plus

If you have the skills of a Credentialing Coordinator as described above, are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package.

 

Envision Healthcare  uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.


Envision Healthcare is an Equal Opportunity Employer

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