Lead Credentialing Coordinator

adventhealth

Kansas

On-site

USD 33,062 - 61,992

Full time

14 days+

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Benefits offered by this job

Medical, Dental, Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off

403-B Retirement Plan

Parental Leave

Job summary

AdventHealth is seeking a Credentialing Administrative Specialist to coordinate verification processes for new applicants and re-applicants. You will manage primary source verifications, respond to inquiries, and maintain accurate credentialing records across multiple sites.

Duties include preparing advisory reports, tracking status, and supporting related special projects under the Director. Strong MS Office skills and attention to detail are essential in this fast-paced environment.

Qualifications

Experience in medical staff services, credentialing, or centralized verification.
Strong communication at multiple organizational levels.
Collaborative work across multiple sites as needed.
Professional demeanor with business acumen and diplomacy.
Client management and physician relations experience.
Data entry and administrative skills with initiative.
Attention to detail and analytical thinking.
Ability to multi-task in a fast-paced environment.
Discretion in handling confidential information.
Proficiency with MS Office and imaging/document systems.

Responsibilities

Coordinate and provide administrative support for credentialing of new and re-applicant staff.
Perform and track primary source verifications per policies.
Respond to inquiries and resolve issues within policy.
Prepare client advisory and status reports and other required tracking reports.
Maintain credentialing database accuracy and integrity.
Produce tracking reports to flag workflow issues.
Update and verify database information continuously.
Support the Director in CVO activities and related projects.

Skills

Medical staff services

Verbal and written communication

Interpersonal skills

Professional demeanor

Client management

Attention to detail

Multi-tasking

MS Office

Confidential environments

Education

Associate degree

High school diploma or equivalent

Tools

None

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 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: 9100 W 74TH ST

City: SHAWNEE MISSION

State: Kansas

Postal Code: 66204

Job Description:

Coordinates and provides administrative support in processing, verifying, and maintaining credentialing information for new applicants and re-applicants. Performs and tracks primary source and other required verifications for all applicants according to established policies and procedures. Responds to customer inquiries and resolves problems within established policies and procedures. Prepares and provides client advisory reports including status reports, expired items reports, and completed file reports to meet contractual time frames. Uses critical thinking skills to flag incongruent issues or information during credentialing. Ensures credentialing database is maintained. Manages integrity of database and appropriateness of hard data. Copies information received and provides it to contracted entities. Produces tracking reports to detect and resolve work in process issues. Populates, updates, and verifies correctness and completeness of database information on an ongoing basis. Provides departmental administrative support to Director in carrying out CVO activities. Helps coordinate completion of related projects, including special project requests as assigned.

Knowledge, Skills, and Abilities:

Demonstrated experience in effectively providing medical staff services and support. [Required]
Ability to communicate (verbal/written) effectively at different levels of the organization. [Required]
Demonstrated interpersonal skills and ability to support and work in collaboration with multiple sites as needed. [Required]
Professional demeanor, business acumen, political astuteness, adaptability and diplomacy combined with the ability to establish and maintain collaborative relationships across the organization. [Required]
Demonstrated client management skills including customer service and physician relations. [Required]
Team oriented with high degree of initiative; a self-starter with demonstrated data entry and administrative skills. [Required]
Highly detail-orientated and organized with analytical and critical thinking skills. [Required]
Results driven with the ability to effectively multi-task, and manage conflicting priorities is essential. [Required]
Ability to function in demanding, stressful and fast paced confidential environment. [Required]
Computer skills and proficiency in MSOffice (Word, Excel, Access, PowerPoint, Outlook), document imaging (i.e. fax, scanner, Image Now). [Required]
Prior experience in credentialing, privileging and practitioner database management or related experience. [Preferred]
Able to communicate effectively in additional languages (i.e. Spanish) [Preferred]