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Facility Maintenance Specialist
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Medical Staff Services Specialist
2 months ago
Job DetailsJob LocationAdelante Healthcare Center Support Office - Phoenix, AZPosition TypeFull TimeEducation LevelHS Diploma from accredited schoolJob CategoryHealth CareDescriptionPOSITION SUMMARY The Medical Staff Services Specialist is responsible for internal credentialing and privileging, as well as payer enrollment new provider enrollment. This position ensures current providers maintain credentialing and active eligibility to provide services and ensure that applicable standards and regulations are monitored. Can perform all duties of Associate Medical Staff Services Specialist role. EXPECTATIONSEvery Adelante Healthcare employee will strive to maximize their performance and contribution to Adelante Healthcare and the community we serve every day. Employees are expected to work in a manner that demonstrates a commitment to quality, patient safety, employee engagement, innovation, and the highest standards of personal integrity, professionalism, and competence. OUR CORE VALUESCompassionExcellenceIntegrityLearning RespectSustainabilityQualificationsESSENTIAL SKILLS AND EXPERIENCE:High School diploma or GED from an accredited institution, four (4) year college degree preferredTwo (2) plus years credentialing experience requiredProfessional and effective oral and written communication skills Organizational skills; ability to multi-task and manage priorities; meet critical deadlinesProficient in Microsoft Excel, Outlook and Word and proprietary database applicationsAttention to detail, objectivity and accurate documentation skillsExcellent customer service orientation with the ability to communicate professionally both verbally and in writing with providers, payers, staff and leadershipValid Level One Fingerprint Clearance Card issued by the Arizona Department of Public Safety for all specialty behavioral health locations POSITION REPONSIBILITIESCreate, facilitate, and track completion of clinician applications for payers to ensure timely credentialing and enrollment. Process credentialing and re-credentialing applications of clinical staffMaintain database with up to date provider informationActs as primary contact for internal and external customers for administrative matters associated with credentialingBack-up coverage of duties performed by Associate Medical Staff Services SpecialistAssist in onboarding new providersCreate/follow monthly reports for expirables/audits Works with National Health Service Core to process verificationsWork with hospital partners on privileging for providersNONESSENTIAL SKILLS AND EXPERIENCE:Three (3) years of experience in community healthKnowledge of medical terminologyAdditional Duties and ResponsibilitiesOther duties as requested or assignedPatient-Centered Medical Home (PCMH)All employees are responsible for promoting and participating in interdisciplinary communication and collaboration to enhance the delivery of quality across the health care system. Employees should maintain an environment which supports and engages patients and co-workers in a caring team-based model to promote wellness and improve health outcomes.Adherence to Compliance and Code of ConductAll employees are required to comply with Adelante Healthcare's written standards, including its Compliance Program and Standards of Conduct, policies and procedures and reporting of any conduct that potentially violates Adelante's legal or compliance requirements. Such compliance will be an element considered as part of the regular performance evaluation.PHYSICAL DEMANDS AND WORK ENVIRONMENTThe physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Physical demands: While performing the duties of this job, the employee may be required to sit for long periods of time, is required to stand, walk, use hands to handle or feel objects, tools or controls; reach with hands and arms; climb steps/stairs; balance; stoop, kneel, crouch or crawl; talk or hear; smell; manage stress as it relates to essential job functions. The employee must frequently lift and/or move up to 25 pounds without assistance and may occasionally be required to lift or move up to 50 pounds with assistance. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.Work environment: While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time when traveling to various clinic sites. The noise level in the work environment is usually moderate. The employee may be subject to health hazards (contagious diseases, blood borne pathogens, etc.) when working in the clinic area.In any organization or job, changes take place over time. Although an effort will be made to keep job-related information current, this is not an all-inclusive list of job responsibilities. Adelante Healthcare, Inc. reserves the right to revise or change job duties and responsibilities as the business need arises. In compliance with EEOC 29 CFR part 1630, if the essential functions of this position cannot be performed in a satisfactory manner by the employee, further accommodations shall be made if it does not constitute undue hardships upon this organization.
