Lifepoint Health has an opportunity for a Specialist, Credentialing Support Services - Remote. The Specialist, Credentialing Support Services responsible for credentialing and/or re-credentialing healthcare providers for initial and re-appointment Medical Staff Membership and/or privileges as well as ensuring renewals are completed to maintain compliance.
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
ESSENTIAL FUNCTIONS: To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation.
- Maintain regular cooperation and compliance with regulatory, accrediting, and membership-based organizations.
- Process initial and re-appointment application packages for existing providers using MD-Staff, within a specific time frame to verify accuracy and ensure compliance.
- Ensure healthcare professionals and services meet all established federal and state standards, as well as National Committee for Quality Assurance (NCQA) standards.
- Collaborate and work closely with the medical staff office in each facility.
- Monitor and update medical licenses and malpractice insurances for providers by set deadlines.
- Ensure timely renewals on licenses and certifications and coordinate follow up if needed to obtain outstanding items.
- Communicate with Medical Staff Personnel (MSP) to obtain the necessary information needed to update and complete provider files.
- Maintain and monitor the database that includes pertinent education, training, experience, and licensure content.
- Communicate with providers to ensure that records are timely and consistent.
- Regular and reliable attendance.
- Perform other duties as assigned.
Additional Information:
Position serves both internal co-workers and external customers, clients, patients, contractors, and vendors.
Access to and/or works with sensitive and/or confidential information
Exhibit a basic understanding of healthcare regulatory and compliance (e.g., HIPAA). Skilled in the application of policies and procedures. Knowledge of Business Office Standards and Recommended Practices.
BENEFITS:
At Lifepoint, our Mission of Making Communities Healthier extends to our employees. We offer an excellent total compensation package, including a competitive salary and benefits. Some of our benefits include 401k, flexible PTO, generous Employee illness benefit (EIB), medical, dental, vision, tuition reimbursement, and an Employee Assistance Program. We believe that happy, healthy people have a passionate engagement with life and work and have designed our package to enhance your wellbeing.
KNOWLEDGE, SKILLS & ABILITIES: The requirements listed below are representative of the knowledge, skills and/or abilities required.
Education: High School Diploma or GED equivalency.
Experience: 1 year medical staff credentialing experience required.
Minimum overnight travel (up to 10%) by land and/or air.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
