Credentialing Specialist

AdventHealth; Tampa (FL); On-site; USD 26,000 - 50,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off

403-B Retirement

Parental Leave

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth in Tampa, FL is seeking a Credentialing Data Specialist to manage the credentialing database, audit provider records, and ensure regulatory compliance. You will verify, update, and maintain physician data while delivering accurate reports to medical staff offices and stakeholders.

The role requires strong MS Office skills, independent work style, and excellent communication in a fast-paced health system environment.

Qualifications

• Proficiency in MS Office (Outlook, Excel, Word, Access, PowerPoint).
• Ability to work independently and communicate effectively with diverse stakeholders.
• Strong written and verbal communication, organization, and attention to detail.
• Experience with healthcare environment, HIPAA privacy and security policies.
• Ability to troubleshoot credentialing systems and reporting tools.

Responsibilities

• Manages credentialing software database, auditing and maintaining provider data.
• Verifies, edits, and manages non-credentialed physicians and health extenders.
• Develops and delivers performance and compliance reports.
• Ensures regulatory compliance with licensure, board certification, and malpractice insurance.
• Provides statistical reports to medical staff offices and stakeholders.
• Maintains confidentiality and supports special projects.

Skills

Outlook

Excel

Word

Access

PowerPoint

MS Office

Independent work

Communication

Detail orientation

Critical thinking

HIPAA knowledge

Education

Associate

Tools

Cypress

Cerner

MSOW

QlikView

Job description

Our Promise To You
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that

Our Promise To You
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule

Full time

Shift

Day (United States of America)

Address

3100 E FLETCHER AVE

City

TAMPA

State

Florida

Postal Code

33613

Job Description

Manages the credentialing software database, including auditing, analyzing, troubleshooting, and problem-solving. Audits, analyzes, and maintains the integrity of provider data in the credentialing system for division providers. Verifies, adds, deletes, or edits all non-credentialed physicians and physician health extenders in the credentialing system. Develops and delivers reports reflecting operating performance and compliance with standards and applicable state and accrediting agency requirements. Ensures regulatory compliance with division, facility, and policies regarding expirables such as licensure, DEA, board certification, malpractice insurance, and applicable certifications. Completes database management to ensure appropriate access and confidentiality while maintaining the integrity of the credentialing database. Provides statistical and analytical reports to local medical staff offices and other stakeholders. Maintains close working relationships with medical staff offices, division, and other customers. Assists with facility and divisional reports. Assists in special projects. Supports the health system mission, values, and philosophy. Performs other duties as assigned.

Knowledge, Skills, And Abilities

• Proficiency in Microsoft Outlook, Excel, Word, Access, PowerPoint, and a high degree of proficiency in MSOffice suite. [Required]
• Ability to work independently. [Required]
• Strong written, phone, and verbal communication skills. Ability to communicate and cooperate with system imaging staff, medical transcription staff, medical staff members and/or their office staff, non-staff providers, MIS staff, Administration and patients and their families, as well as customers of the CVO including Medical Staff Offices (MSO) and affiliated groups. [Required]
• Exceptional organization skills and detail-oriented with strong critical thinking, organizational, and planning skills. [Required]
• Strong attention to detail. [Required]
• Critical-thinking skills: ability to problem solve, make decisions and effectively communicate issues and progress. [Required]
• Knowledge of healthcare environment and healthcare delivery systems. [Required]
• Ability to troubleshoot computer systems such as Cypress, Cerner, MSOW (Morissey), and Qlikview reporting system. [Required]
• Ability to maintain confidentiality with regards to provider information and understand/adhere to HIPAA privacy and security policies and procedures. [Required]
• Knowledge of medical terminology or the ability to learn medical terminology. [Preferred]
• Professional demeanor with strong interpersonal skills. [Required]
• Ability to function in demanding, stressful, and fast-paced, confidential environments. [Required]

Education

• Associate [Preferred]

Physical Requirements:

(Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/23km2677

Pay Range

$19.22 - $35.75

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law. Applicants may review general information about Florida’s background screening requirements at Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.