Credentialing Specialist Job at TeamHealth, United States

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  • TeamHealth
  • United States

Job Description

Credentialing Specialist | TeamHealth

TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. TeamHealth has been recognized by Newsweek as one of America's Greatest Workplaces in Health Care for 2025 – Becker's Hospital Review names TeamHealth among the top 150 places to work in healthcare. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us! JOB DESCRIPTION OVERVIEW:

The Credentials Specialist is an administrative position coordinating facility specific medical staff office and/or non-privilege post-acute applications, including Advanced Practice Clinicians (APC) Supervisory paperwork requirements, for clinicians who have been recruited to work at facilities wherein TeamHealth's services are provided. The position requires disciplined follow-up, clinician and medical staff office / facility interface, organization skills and detailed documentation.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Carries out the process as outlined in the TeamHealth Coordination of Credentials Policies and Procedure Manual
  • Establish working relationships with internal and external personnel to facilitate all aspects of facility application processes as it relates to receiving privileges or approvals to work at a facility (ies) and maintaining the privileges.
  • Collaborate with clinicians and/or other internal/external resources if/when a new state license is needed for clinician(s)
  • Coordination, receipt, and data entry of clinician information via standardized processes in the credentials software system(s) for the purpose of ensuring clinician information is accurate and up-to-date
  • Ensures current documentation is on file for all contracted clinicians and all pertinent documentation is forwarded to appropriate privileging and non-privileging facilities for initial privileges / approvals and reappointments.
  • Facilitates and tracks the entire facility application and reappointment process and documents accordingly.
  • Initiates and ensures malpractice coverage for clinicians
  • Ensures facility requirements are met in order to present applications to facilities' Medical Staff Offices or Post-Acute places of service in accordance with quality standards
  • Prepares and ensures accuracy of clinician applications for hospital privileges / approvals.
  • Performs follow-up per guidelines with hospitals and post-acute facilities. Notify stakeholders: Onboarding, Provider Enrollment, VPOs, FMD's, RMD, scheduler, and recruiters about the credentialing status
  • Maintains Credentials database(s) to identify and disseminate to others (onboarding, provider enrollment, recruiting, scheduling, contracting) hospital privilege / approval report status
  • Coordinates, completes, and follows-up on the reappointment process for hospitals.
  • Ensures appropriate APC and Supervisory paperwork is complete, based on clinician type and the requirements of TeamHealth, State(s) and Facility(ies)
  • Ensures appropriate state ratio(s) are maintained for APC and Supervisory relationships
  • Maintains personal adherence to professional confidentiality standards established within the Department and in accordance with legal, ethical, and facility policies

QUALIFICATIONS / EXPERIENCE:

  • Two (2) years of college (specifically business courses) or
  • One (1) to three (3) years of experience in a medical staff office or credentials position
  • Excellent organization skills with the ability to handle multi-tasks
  • Excellent interpersonal skills
  • Excellent negotiation and persuasion skills

Job Tags

Work at office

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