Medical Staff Credentialing Director jobs in Tampa, FL

Our Vision is to be the best choice for healthcare in our community

We are seeking a Full-Time Credentialing Specialist within the Land O Lakes Central Business Office. Typical schedule is Monday-Friday, 8:00 AM - 5:00 PM. The Credentialing Specialist is responsible for maintaining the credentialing files for all FMC providers. The position requires knowledge of Federal, State, and Payer regulations. Candidates must have a background in physician credentialing and have strong organizational and multi-tasking skills. *Minimum of 1 year experience REQUIRED*

**While onsite support may be required occasionally, this position will permanently report to a remote/work at home office. CANDIDATES MUST RESIDE IN FLORIDA***

WHAT DOES FMC HAVE TO OFFER ITS EMPLOYEES?

We offer a wide choice of compensation and benefit programs that are among the best. From competitive salaries to retirement plans. We make every effort to take care of the people who make our company great.

• Gives you an employer that you will have pride in working for
• Provides excellent training programs and opportunities for growth
• Offers Medical Benefits including:
  • Employer Contributions to HSA high deductible plan
  • Discounts at our medical facilities
  • Cigna Open Access OAPIN & OAP plans
• Supports Incentive based Wellness Programs
• Offers company sponsored Life Insurance with buy-up provisions
• Provides Dental, Vision, Long and Short Term Disability, Accident & Illness policy options
• Supports Paid Time Off and Holidays
• Gives generous 401K plan with annual 3% Employer contribution after one year of employment
• Values and appreciates its employees
• Boasts a reputation for superior health care and quality service

Keys to Success in this Role:

• Complete provider applications/reapplications
• Responds to requests from insurance companies for information/documentation
• Follows up with insurance companies and hospitals regarding status of physician applications
• Notifies insurance carriers when a physician leaves the practice
• Notifies insurance carriers when a new physician joins the practice who is already credentialed on a plan
• Processes changes of address for practice locations
• Maintain the NPI, CAQH databases with updates and quarterly re-attestations; Adds to Credentialing spreadsheet
• Assist Marketing in identifying all insurance plans by physician
• Communicate all activity with the Director of the physician office
• Perform incidental duties as needed

Required Equipment for Remote Workforce

• While onsite support may be required occasionally, this position will permanently report to a remote/work at home office.
  Required Equipment for Remote Workforce
• Minimum internet hardwired internet speed of 100m x 1m (Satellite, Wireless and or Hot Spot service are prohibited)
• A dedicated secure home workspace for interview and for work purposes.
• Acknowledgement and Compliance with all aspects of the Remote Workforce Agreement
• Employee must provide all necessary computer equipment with the exception of the following which will be provided to them:
• One Monitor
• Webcam
• Connection Cables

Essential Functions of the Position:

• Completes provider applications/reapplications
• Responds to requests from insurance companies for information/documentation
• Follows up with insurance companies and hospitals regarding status of physician applications
• Notifies insurance carriers when a physician leaves the practice
• Notifies insurance carriers when a new physician joins the practice who is already credentialed on plan
• Tracks the above information to promote speed of processing
• Processes change of addresses for each practitioner/practice location
• Manages renewals (medical licenses, DEAÂ's, occupational licenses) for all providers
• Maintains the NPI and CAQH data bases
• Works with malpractice insurer to process new physicians and renewals
• Obtains loss run reports, as indicated
• Maintains a current contract listing, identifying the credentialing status of all physicians for plan and updates the SharePoint site information.
• Assists Marketing in identifying all insurance plans by physicians. Updates the Insurance Plans via the FMC internet for each provider.
• Maintains a resource file on each practitioner electronically which include copies of:
• Current licenses/DEA/malpractice
• Board certifications
• Notification of plan participation
• Hospital privilege information
• Claims history
• Confidential documentation
• Additional Responsibilities:
• Performs other incidental and related duties as required and assigned.

Physical and Mental Demands:

• Normal physical ability; able to sit for long periods
• Normal concentration and normal complexity of decision making
• High level verbal and written communication skills
• Above average ability to manage multiple asks simultaneously

Occupational Exposure:

• Low risk exposure to bloodborne pathogens and chemical hazards.

Occupational Exposure:

• Low risk exposure to bloodborne pathogens and chemical hazards

Job Qualifications:

• High school graduate or GED equivalent
• Strong customer service orientation
• Proficient in Word, Excel and other applications
• Excellent telephone and email etiquette
• Minimum 1 year experience

We are an Equal Opportunity Employer and make employment decisions without regard to race, gender, disability or protected veteran status.