What are the responsibilities and job description for the Provider Credentialing Specialist position at Harrison County Community Hospital District?
Job Description
Job Title: Provider Credentialing Specialist
Supervisor: HCCHD Director of Revenue Cycle
FLSA Status: Non-Exempt / Full-Time/Hybrid
Qualifications: Minimum of a High School diploma; Associate degree is preferred. Office experience (3 years preferred with 1 year in Healthcare or Insurance).
Essential Duties and Responsibilities:
- Maintain compliance with all regulatory and accrediting institutions.
- Credentialing of physicians and other health practitioners.
- Collect and maintain an accurate practitioner database and analyzing verification information
- Monitor provider licenses and credentialing expiration dates.
- Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing.
- Support the role of the Director of Revenue Cycle.
- Assume various other responsibilities from performing clerical duties to assisting with operations reporting.
- Demonstrate a working knowledge of computerized medical software; quickly learn new technologies and electronic medical record (EMR) workflow changes.
- Attend continuing education classes and conferences.
- Maintain high standards; inspire and encourage others to uphold the best practices of professionalism by articulating & demonstrating professional behavior, collaborate, accept responsibility & accountability for actions.
- Work in a fast-paced environment and be proficient in multi-tasking.
- Able to make decisions and initiate action under stress in critical situations.
- Possess effective verbal, non-verbal, and written communication skills.
- Maintain confidentiality regarding patient & business functions.
- Embrace and participate in a teamwork-oriented environment.
- Follow all Harrison County Community Hospital District and departmental policies and procedures.
- Ensure Harrison County Community Hospital is maintaining compliance with regulatory requirements.
- Complete other duties as assigned by supervisor(s).
Harrison County Community Hospital District provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
