Job Information
Trinity Health Credentialing Assistant in Livonia, Michigan
Employment Type:
Full time
Shift:
Day Shift
Description:
Ensures the timely collection and verification of practitioner expirables (state licensure, DEA, malpractice insurance, etc.). Defines and manages the expirables process in the MSOW database. Performs a variety of credentialing tasks at the direction of the management to complete the credentialing process for Trinity Health Regional Health Ministries (RHMs).
This position is an integral part of the credentialing team and is responsible for following credentialing policies and procedures; maintaining an accurate physician data base; collecting data; and participating in development and implementation of changes to the credentialing processes.
ESSENTIAL FUNCTIONS:
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
Contacts the practitioner or the appropriate credentialing contact regarding expiring licensure, malpractice insurance, certifications, etc.
Communicates regularly with the RHMs concerning expiring documents that may impact the practitioners' ability to practice in the hospital.
Contacts various primary sources to gather the required documentation of current licensure.
Conducts data entry to ensure an accurate physician data base.
Creates reports and uses organized processes in MSOW to track licensure and other expirables
in a timely manner with minimal error.
Maintains the confidentiality of information acquired pertaining to patient, physicians, employees, and external entities.
Maintains customer-focus attitude, rapport, and cooperative relationships. Approaches conflict in a constructive manner. Helps identify problems, offers solutions, and participates in their resolution. Tracks errors and complaints to assist with process improvement activities.
Participates in professional development programs and professional organizations to grow in understanding of the various regulations and legislation of the health care industry as appropriate.
Maintains good rapport and cooperative relationships. Approaches conflict in a constructive manner. Helps to identify problems, offer solutions, and participate in their resolution.
Maintains the confidentiality of information acquired pertaining to patient, physicians, employees, and visitors to Trinity Health. Discusses patient and hospital information only among appropriate personnel in appropriately private places.
Assumes responsibility for performance of job duties in the safest possible manner, to ensure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management.
Other duties as needed and assigned by the director.
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
MINIMUM QUALIFICATIONS:
High school diploma/GED plus two years of post-high school education, training or experience.
One year of work experience in the health care environment and general knowledge of the health care industry including hospital settings, physician practices, and managed care organizations.
Knowledge and understanding of NCQA and TJC standards, NPDB guidelines, hospital policies and procedures, and general licensing regulations.
Knowledge and experience with database organization and management, report generating languages, PC's and proficiency in Windows-based word processing software.
Strong communication skills including the ability to correspond effectively, as well as verbally convey information clearly, listen actively, and consider varying viewpoints when making decisions. Strong statistical, analytical and problem-solving skills. Ability and desire to provide quality service to others. Strong organizational skills and the ability to provide attention to detail and thoroughness. Ability to work autonomously and within a team environment. Must be comfortable operating in a collaborative, shared leadership environment.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS:
Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.
Must possess the ability to comply with Trinity Health policies and procedures.
Ability to complete work during high-pressure periods while maintaining flexibility and a pleasant attitude.
The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran