Job Description

General Summary

Provides exceptional onboarding experience for providers by ensuring timely notification and tracking of all required documents and procedures. Works proactively and collaboratively with new providers, WellSpan Medical Group leaders, Central Verification Office (CVO), Medical Staff Services, Human Resources, and other stakeholders to optimize onboarding experience and timeframe. Performs advanced coordination and onboarding support functions with providers which requires excellent communication, organizational skills, and ability to work independently with highly sensitive information.

Duties and Responsibilities

Essential Functions:

• Proactively facilitates all aspects for the credentialing, privileging and provider enrollment processes for newly employed practitioners and all independent practitioners who are seeking medical staff appointment, clinical privileges, and/or network credentialing.
• Provides an excellent experience for providers during credentialing, privileging and enrollment.
• Collects required information and initiates the notification process to key stakeholders.
• Explains to and assists practitioners in the credentialing and privileging processes including the expectations regarding the practitioner’s responsibility for accurate and timely application and document submissions, privilege criteria requirements, and the regulatory requirements associated with the privileging process to ensure, at a minimum, that no practitioner practices at a WellSpan licensed entity prior to having the appropriate privileges granted to practice at that entity.
• Reviews application and document submissions for completeness and proactively identifies any gaps in required documentation, escalating as required for resolution.
• Serves as the primary point of contact for key stakeholders across WellSpan for status inquiries and updates associated with the credentialling processes.
• Proactively monitors progress of all credentialing processes according to System Credentialing Policy(s) and follows identified escalation processes when a practitioner is at risk of not meeting the requested start date.
• Serves as the liaison between the CVO, Human Resources, Medical Staff Services, Revenue Cycle, WellSpan Medical Group stakeholders, and locum tenens agencies to ensure timely completion of all credentialing processes following Standard Work and System Credentialing Policy(s).
• Identifies opportunities for improvement in the credentialing processes where identified friction points exist to remove barriers to timely credentialing process completion.
• Maintains confidentiality of provider information.

Common Expectations:

• Maintains established policies and procedures, objectives, quality assessment and safety standards.
• Maintains professional growth and development.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

Minimum Education:

• Associates Degree Required

Work Experience:

• 3 years Required

Knowledge, Skills, and Abilities:

• Demonstrated ability to manage multiple projects
• Ability to work independently and perform a variety of tasks efficiently and with accuracy
• Exemplary organizational and problem-solving skills
• Proficiency in data entry
• Flexibility to adapt to changing priorities and follow through on requests
• Excellent computer skills
• Excellent verbal and written communication/interpersonal skills
• High degree of professionalism

Benefits Offered:

• Comprehensive health benefits
• Retirement savings plan
• Paid time off (PTO)
• Education assistance
• Financial education and support, including DailyPay
• Expanded Paid Parental Leave

For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)