Credentialing Specialist at Lifepoint Health

Brentwood, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

05 Jun, 26

Salary

55545.0

Posted On

07 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Credentialing, Re-credentialing, Medical Staff Membership, Privileges, Regulatory Compliance, Accrediting Organizations, MD-Staff, NCQA Standards, License Monitoring, Malpractice Insurance Monitoring, Database Maintenance, Data Entry, Spreadsheets, HIPAA, Policy Application, Task Management

Industry

Hospitals and Health Care

Description

Credentialing Specialist Schedule: Monday-Friday Job Location Type: Remote Your experience matters At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Lifepoint Business Services (LBS) team, you’ll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier ®. More about our team The LBS Credentialing Specialist is 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. How you’ll contribute A Credentialing Support Services Specialist who excels in this role: * 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. * Maintain regular and reliable attendance * Perform other duties as assigned Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: * Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees. * Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. * Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. * Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). * Professional Development: Ongoing learning and career advancement opportunities. What we’re looking for Applicants should have a high school diploma or equivalent, or combination of education and experience required for the job. Additional requirements include: * 2+ years of Medical Staff Credentialing and Privileging experience. * Have a designated workstation in their home free from distractions. * Exhibit a general 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. * Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages and to draw and interpret graphs. * Ability to work with mathematical and algebraic concepts such as probability, statistical inference, and forecasting. Ability to apply and analyze concepts such as fractions, percentages, ratios, and proportions to practical situations. * Frequent use of electronic mail, word processing, data entry, spreadsheets, graphics, etc. Ability to create, maintain and incorporate simple functions into documents, spreadsheets, databases, and presentations to support business objectives. * Regularly uses moderately complex oral and written skills. May train others in functional areas, interact with others and make presentations to department or middle management. * Handle multiple tasks simultaneously with moderate complexity. * Handle multiple projects simultaneously including task delegation, project oversight, and resource allocation. Salary range: $41,144-$55,545 per year. EEOC Statement Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment. You must be authorized to work in the United States without employer sponsorship. 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. We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.

Responsibilities

The Credentialing Specialist is responsible for credentialing and re-credentialing healthcare providers for initial and re-appointment Medical Staff Membership and privileges, ensuring renewals maintain compliance. This involves processing applications, monitoring licenses and insurance, and collaborating with medical staff offices to maintain accurate provider files.