Credentialing Specialist

Orlando Health - Medical Staff Credentialing And Privileging Support

At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities.

Orlando Health is the top healthcare organization in the Metro Orlando area to make the prestigious Forbes list of America's Best-In-State Employers for 2024.

Position Summary:

Responsible for providing support to the medical staff and allied health staff with credentialing and privileging activities for initial and reappointment, assuring compliance to regulatory and accreditation standards, as well as the Orlando Health Bylaws, Rules & Regulations.

Essential Functions:

• Provides exceptional customer service to physicians and physician office staff members as well as internal customers.
• Obtains timely and accurate primary source verification for all credentialing functions.
• Completes accurate and timely data entry of all credentialing activity into physician credentialing systems.
• Identifies trends and assists in the development of action plans for purpose of performance improvement.
• Interacts with and provides support to department chairmen and leadership chairmen in the preparation of meeting calendars and meeting notices.
• Manages various human resources functions including hiring, work assignments, coaching plans, and performance counseling.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains compliance with all Orlando Health policies and procedures.

Other Related Functions:

• Assists the Medical Staff Supervisor in providing all credentialing, privileging and meeting support activities for the Orlando Health Medical Staff and its leadership.
• Ongoing review of processes to improve performance and meet customer needs.
• Maintains confidentiality.
• Assumes responsibility for professional growth and development.
• Skills necessary to maintain credentialing, meeting support activities, and reporting abilities relative to physician activity and statistics.

Qualifications:

• High school graduate or equivalent.
• Knowledge of medical terminology.
• Three (3) years experience credentialing/privileging or; one (1) year of credentialing/privileging experience and two (2) years of clinical experience.
• Associate degree in business, health care, accounting or related field may be substituted for two (2) years of experience.
• Bachelor degree in health, business or related field may be substituted for three (3) years of experience.
• Proficiency in Microsoft Word, Excel, Internet and significant proficiency in credentialing data system.