Overview

Credentialing Coordinator I - Envision Healthcare

THIS POSITION IS 100% REMOTE!

Company Overview

Envision Healthcare is a leading national medical group focused on delivering high-quality care to patients when and where they need it most. You’ll find clinicians and clinical support professionals across the nation who are proud to call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country.

Through Envision Physician Services and AMSURG, our clinician-led organization is changing the face of healthcare by delivering high-quality care that puts the patient first.

Envision’s core values drive continual advancement and ingenuity across the enterprise:

• Be Curious-embrace learning, seek out diversity of thought, listen openly, ask questions, and ask for feedback
• Instill Trust-have the hard conversation, presume good intent, honor commitments, and do the right thing for patients and each other
• Pursue Extraordinary-challenge the status quo, champion change, innovate and constantly aim higher
• Care Deeply-serve patients, partners, communities, and each other with empathy, compassion, and respect
• Embrace Teamwork-work cross-functionally, break down walls, develop others, be inclusive and unite to improve patient health
• Inspire Joy-seek fulfillment and the joy of medicine, appreciate others, celebrate wins, and promote wellness and belonging

Benefits: At Envision Healthcare, we offer benefits at the speed of your life. Our wide range of health and welfare benefits allow you to choose the right ones for you and your family. Best of all, qualifying employees are eligible to enroll from day one, so you can rest easy knowing you and your loved ones are protected. Envision Healthcare offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits offered include but not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs.

Paid Time Off:

Envision Healthcare offers paid time off, 9 observed holidays and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.

Responsibilities

Summary

The Credentialing Coordinator I is responsible for ensuring that all providers are processed/credentialed prior to their start date (i.e. Credentialing support of Employment, Hospital). You will maintain communication with Internal/external customers (MSO’s, Client Services, State Boards) ensure accuracy of the Applications (its Affiliates, Managed Entities, etc.) and create efficiency for the on-boarding process.

Essential Duties and Responsibilities

• Handles expirables for assigned accounts ensuring required documents are received and verifications completed within established deadlines
• Responsible for updating credentialing database
• Responsible for performing primary source verifications utilizing various websites, contacts educational facilities and professional references to verify credentials
• Identify and investigate discrepancies in information and perform timely follow-up to obtain documentation required
• Develops an understanding of and adheres to established credentialing guidelines
• May assist credentialing coordinators with in-depth review of practitioner’s application and accompanying documents ensuring applicant meets facility guidelines and eligibility
• Ensures compliance with facility Medical Staff Bylaws, Rules and Regulations, policies and procedures for hospital clients and Envision Physician Services
• Extensive and frequent verbal and written communications with Clinicians, Medical Staff Offices, educational facility, state licensing boards, professional references, and internal company staff, requiring professionalism and tact, to attain or provide all needed information quickly in order to expedite the credentialing of Clinicians
• Provides excellent customer service in accordance with Envision Physician Service’s customer service standards to all internal and external parties
• Coordinates and Processes all check requests; works with finance team
• Assist and prepare for NCQA/TJC audit where applicable

Qualifications

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

• Communicate and work well in a team environment
• Meet established production and quality goals/metrics
• Follow up in a timely manner on open items
• Able to effectively prioritize work daily
• Ability to take direction and quickly adapt to established guidelines, is self-directed and is successful in working in a high paced environment.
• Strong organization skills and attention to details are essential.
• Excellent verbal and written communication skills are essential. Able to communicate and present information to a wide variety of parties effectively.
• Demonstrated proficiency in use of Microsoft Office applications; Word, Excel, Outlook; and conducting research using various websites.

Education/Experience

• High School Diploma or General Education Degree (GED)

Envision Healthcare uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify .

Envision Healthcare is an Equal Opportunity Employer.