Credentialing Coordinator Remote

AdventHealth Corporate

All the benefits and perks you need for you and your family:

Benefits from Day One

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

Our Promise To You

Joining AdventHealth is about being part of something bigger. Its 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.

Shift : Monday- Friday

Job Location : Remote, Must reside in CFL area

The Role You Will Contribute

The CVO Credentials Coordinator provides essential verification and quality control functions to support the West Florida Region's goals for credentialing health care providers while ensuring adherence to corporate, legal, regulatory and delegated requirements. Ensures all duties are performed in accordance with organizational policies and procedures and compliant with professional, regulatory and legislative requirements.

The Value You Will Bring To The Team

• Ensures credentialing and re-credentailing is performed in line with established protocols, standards and goals: * Coordinates and provides administrative support in the processing, verification and database maintenance of credentialing elements and information for new applicants and re-applicants to all Florida Hospital sites in the region to assure that valid and timely information is provided for practitioner credentialing decisions. * Coordinates, 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 assure contractual time frames are met. * Uses critical thinking skills while credentialing to flag incongruent issues or information as they arise.
• Ensures that credentialing database is maintained. * Manages integrity of database and appropriateness of hard copy information received and provided to contracted entities. * Uses critical thinking skills while performing data entry tasks to flag incongruent issues or information as they arise. * Produces tracking reports and uses them 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.
• Supports the health system mission, values and philosophy.
• Maintains personal adherence to professional confidentiality standards established within the department and in accordance with legal, ethical and health system policies.
• Ensures that information is maintained in confidential manner as required by Florida Hospital, TJC or DNV, State and federal law.
• Maintains on going communication and feedback with all stakeholders, customers and staff.
• Performs additional duties as required or assigned.
  
  

The Expertise And Experiences Youll Need To Succeed

High School Grad or Equiv

Preferred Qualifications

Associate

Certified Provider Credentialing Specialist (CPCS) Preferred Or

Certified Professional Medical Staff Management (CPMSM) Preferred

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Administrative

Organization: AdventHealth Corporate

Schedule: Full-time

Shift: 1 - Day

Req ID: 25026037

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.