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.
Numbers & Facts
Location
MD
Skills
Customer Support/Serviceunmatched
Documentationunmatched
Financial Managementunmatched
Human Resourcesunmatched
Onboardingunmatched
Policy Developmentunmatched
Procedure Developmentunmatched
Process Developmentunmatched
Process Improvementunmatched
Project Trackingunmatched
Riskunmatched
Safety Standardsunmatched
Team Playerunmatched
Time Managementunmatched
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