External Credentialing Supervisor

4 weeks ago

Atlanta, United States TeleSpecialists LLC Full time
Job DescriptionJob Description

This position is based in either our Ft Myers Fl or Atlanta Ga offices


Position Summary
The External Credentialing Supervisor is responsible for the successful completion of the TeleSpecialists External Credentialing process and inventory management with all external hospital applications of TeleSpecialists physicians. The External Credentialing Supervisor ensures all provider’s privileging information is complete and accurate and all appropriate documents are maintained and current within Salesforce. The External Credentialing Supervisor also ensures that the management team is made aware of any potential issues with all inventory and processes. 

Essential Duties and Responsibilities:

  • Oversee and manage a small team within External Credentialing
  • Manages the reappointment process for all TeleSpecialists hospitals, ensuring no physicians expire
  • Ensures the completion of external credentialing applications for contracted tele-medicine physician across all states.
  • Ensures the completion of applications for all new hospital contracts and implementation
  • Assist with the on-boarding process (externally) to include: Obtaining hospital privileges within the appropriate timeframe
  • Updates approvals in Salesforce through reporting and monitoring each week
  • Submits check requests to the applicable hospitals on behalf of the external credentialing specialists
  • Ensure departmental guidelines are followed to support all contracted hospital privileges and procedures
  • Identify and analyze the physician information received to ensure accuracy
  • Assist in the credentialing process by entering/logging/scanning information into credentialing system for initial, updated, and maintenance processes
  • Track the credentialing application process in order to promote compliance, process enhancement, and efficiency
  • Follows up on any missing information needed to complete the credentialing process
  • Provide management team with weekly reports identifying the process of all applicants
  • Distributes inventory and prioritizations to the credentialing team daily and/or weekly
  • Assist in the training of new hires for all credentialing functions
  • Makes leadership aware of any potential derogatory issues identified during the credentialing process and works in collaboration with practitioner to document/resolve the issue
  • Other duties as assigned
  • Reads and abides by the company’s code of conduct, ethics statements, employee handbook(s), policies and procedures and other mandates, including participation in mandatory training programs


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.
  • Ability to interact with internal and external customers
  • Demonstrates ability to lead, manage and motivate teams.
  • Flexible and adaptable in regards to learning and understanding new technologies 
  • Highly analytical and detail-oriented with ability to demonstrate command of details and to articulate those details at a higher level. 
  • Strong written, oral and interpersonal communication skills
  • Highly self-motivated, directed and proactive
  • Keen attention to detail
  • Ability to effectively prioritize and execute tasks in a high-pressure environment
  • Experience working both independently and in a team-oriented, collaborative environment
  • Able to communicate effectively within department and with members of interdisciplinary teams
  • Ability to work independently and proactively in a fast-paced, dynamic environment 
  • Proven analytical and problem-solving abilities  


Education/Experience:

  • High School Diploma or equivalent
  • At least 3 years of Credentialing experience required


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

Physical Requirements:

  • Prolonged periods of sitting at a desk and working on a computer
  • Must be able to lift 15 pounds at times

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