Executive Assistant/Credentialer

6 days ago

Ocoee, United States Everest Rehabilitation Hospitals LLC Full time
Job Details

Job Location
Orlando - Ocoee, FL

Description

SUMMARY:

The Executive Assistant/Credentialer assists the CEO and the Administrative Staff and coordinates medical staff functions to maintain Federal, State and other licensing regulatory standards. Create and carry out various credentialing processes in relation to physicians, medical assistants and various other healthcare professionals. Ensures that all personnel and services adhere to facility and staff policies, department guidelines, regulations and government laws. Processes applications and reappointment paperwork, checking for completeness and accuracy. Maintain and update accurate databases for both practitioners and facility. The Credentialer must maintain records for regular auditing purposes and stay in close communication with all appropriate practitioners to ensure that records are up-to-date and consistent. Acts as a liaison between administration and hospital medical staff.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

To perform this job successfully, an individual must be able to perform each key function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions.

Job Functions:
  • Process all initial, renewal and temporary applications for Medical Health Staff appointments and clinical privileges to meet policies and procedures, Medical Staff Bylaws, and regulatory and accreditation standards of State and Federal Agencies.
  • Communicates directly with Hospital CEO, Medical Staff President and physicians on a daily basis or as needed to complete privileges.
  • Initiates and finalizes medical privileges process.
  • Maintains up-to-date and orderly credentialing system database and filing.
  • Supports CEO and other Administrative personnel as Executive Assistant
OPERATIONS AND SUPPORT SERVICES:
  • Responsible for managing an Advocacy Team rotation list.
  • Responsible for maintaining a running account of the patients within the facility and their assigned advocate.
  • Establishes, implements and ensure that Medical Staff Services practices and procedures are in accordance with regulatory and accreditation agencies and overall hospital policies.
  • Interprets and applies medical staff By-Laws, Rules and Regulations; and department rules and regulations as they apply to credentialing, reappointment and functions of established committees. Initiate or assist in initiating proposed amendments.
  • Educates and assists medical staff officers, department directors and other health care professionals in the development of mechanisms to assess physician performance, identify potential risks and take decisive action when appropriate.
  • Serves as liaison between the medical staff, administration, ancillary departments and patients in matters pertaining to medical staff.
  • Directs and assumes responsibility for maintenance of accurate, current confidential files, and computer program date for medical staff members.
  • Processes all initial, renewal, and temporary applications for Medical Health Professional Staff appointments and clinical privileges.
  • Submits complete credentialing materials to Hospital CEO and Medical Staff President for approval.
  • Maintains up-to-date physician database(s), including medical licenses, drug enforcement administration certificates and professional liability insurance, and renewal period expiration dates.
  • Communicates with Hospital CEO and Medical Staff President monthly about expiration reports and provide rosters when requested.
  • Reports at Quarterly Medical Executive Committee the status of approvals, withdrawals, resignations, temporary privileges, and any medical suspensions.
  • Maintains organized credential files and assists with inspections by regulatory authorities or accreditation surveyors.
  • Queries electronically the National Practitioner Data Bank for initial appointment, reappointments, change in privileges, and temporary privileges for each facility.
  • Verifies Medical Health Staff licenses for initial appointment, reappointment, license renewal, and temporary privileges.
  • Meeting frequency between Credentialer, Hospital CEO and Medical Staff President will be discretionary. Daily/Monthly visits will be coordinated between Credentialer and CEO for routine filing and communications.
  • References affiliation and evaluation requests from healthcare entities will be completed and approved by the Medical Staff President.
  • Documents compliance with Ethics and Corporate Compliance, Licensure and Certification requirements. Monthly verifications are conducted, and findings are reported on a quarterly basis and provided to the Medical Executive Committee.
  • Other duties as deemed necessary by Hospital CEO.
  • Supports the facility's mission, vision, values and goals
Education

Bachelor's degree preferred.Equivalent years of experience may be substituted for education requirement. Minimum of two (2) years' in both assistant and credentialing experience.Experience in a health care setting preferred. Current knowledge of medical legal issues, laws, and regulatory agency requirements and standards as well as current credentialing processes required.

License/Certification

Current Certified Medical Staff Credentialer. If not currently certified, employee must maintain certification throughout employment.If not currently certified, certification must be obtained within 12 months of date of hire into the position.

Experience

Strong written and verbal communication skills.Ability to work in a fast-paced, stressful environment.Ability to project a professional, motivated image.Strong organizational and analytical skills.Possess a positive attitude.Maintain confidentiality in all daily interactions with physicians and their representatives.Working knowledge of personal computer and software applications used in job functions (Microsoft Word, Excel, spreadsheets, etc.)

OTHER REQUIREMENTS:

Participates in or conducts company-wide sponsored training to safeguard against improper use and disclosure of patient's protected health information.Monitors and ensures compliance with company policies, procedures, state and federal regulations and Accreditation Standards.

Company Specific:
  • Adheres to dress code, appearance is neat and clean and wears appropriate identification while on duty.
  • Adheres to all smoking or tobacco regulations established by corporate building owners, state, or federal laws.
  • Completes annual health, safety, and education requirements.Maintains professional growth and development.
  • Maintains confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected.
  • Demonstrates knowledge of the principles of growth and development and the skills necessary to provide age appropriate care to the patient population served.
  • Reports to work on time as scheduled; adheres to policies regarding notification of absence.
  • Attends all mandatory in-services and staff meetings.
  • Represents the organization in a positive and professional manner.
  • Complies with all organizational policies regarding ethical business practices.
  • Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department.
  • Maintains current licensure/certification for position, if applicable.
  • Consistently demonstrates superior customer service skills to patients, physicians, visitors, employees, and any other individuals with whom they may come in contact.
  • Consistently follows departmental and hospital Health, Safety, Security, Hazardous Materials policies and procedures.
  • HIPAA: Conduct job responsibilities in accordance with HIPAA privacy laws, follow hospital policy in provision of patient confidentiality. Able to identify patient confidentiality issues and reports to proper hospital personnel immediately.
  • Compliance: Conducts job responsibilities in accordance with standards set forth in Code of Conduct, policy and procedures, applicable federal and state laws, and applicable standards.
CORE VALUES:

Professionalism -To always maintain the highest standard and regard for others.Keep skills, competencies and required licensures/certifications current; displays mastery over attitude and behavior and pride in appearance. Consistently performs duties to the best of abilities.

Exceptional Care- Go above and beyond expectations by providing exceptional care to WOW our customers-patients, family, physicians, and each other.

Respect - Treating others as they would like to be treated; valuing others. Acknowledges the worth of others through professional greetings, proper telephone etiquette, patience, and common courtesy.

Fun - Having fun and celebrating small successes in our journey to achieve big. Always demonstrates a positive attitude toward work and devotion to our passion and task at hand.

Teamwork - To function as a unit, with common goals, recognizing we can achieve far more as a team than as individuals.Cooperates with co-workers while performing duties leading to everyone being able to achieve success and giving recognition where it is due.

Integrity - To always be honest and trustworthy in all our relationships.Demonstrates adherence to a strict moral or ethical code in performance of duties by always seeking to do the right thing.

Accountability -Responsibility of our actions that influence the lives of our customers and fellow workers.Takes ownership of all aspects of duties shown through reliable, timely performance and responsibility.

Responsibility - Maintains accountability by doing what is expected or beyond; assuring the appropriate tasks and project items are completed. Takes ownership of all aspects of duties shown through reliable, timely performance and accountability.

Knowledge/Skills/Abilities:
  • Ability to represent the company in a confident, persuasive and positive manner.
  • Good interpersonal, verbal and written communication skills.
  • Ability to work under stress and respond quickly in emergency situations.
  • In-depth knowledge of operational, clinical and referral development systems.
  • Ability to work effectivelywithin a complex matrix organization.

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