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Role Description

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.

• 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.

Qualifications

• High school diploma or equivalent, or combination of education and experience required for the job.
• 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.

Benefits

• 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.

Salary

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.