Privileging Consultant - Remote Job at Sound Physicians

Sound Physicians Chicago, IL 60605

About Sound:

Sound Physicians is a leading physician partner to hospitals, health plans, physician groups, and post-acute providers seeking to transform outcomes for acute episodes of care. For 20 years our high-performing and affordable care models have combined physician leadership, clinical process, technology and analytics to consistently improve clinical and financial performance. We are pioneers in value, working together with our partners and community providers to bridge gaps in care, from hospital to home.

Sound Physicians offers a competitive benefits package inclusive of the items below, and more:

  • Medical insurance, Dental insurance and Vision insurance
  • Health care and dependent care flexible spending account
  • 401(k) retirement savings plan with a company match
  • Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with Sound's PTO policy
  • Ten company-paid holidays per year

About the Role:

The Privileging Consultant (PCT) manages the hospital privileging process for all healthcare providers, providing services to a Sound Physicians managed program. The PCT partners directly with the Privileging Coordinator and 3rd Party Agency contacts to ensure each provider completes the required privileging application and provides the appropriate supporting documentation as outlined by the hospital’s privileging standards and bylaws. The PCT serves as the main point of contact for privileging for both internal and external customers.

The Privileging Consultant is responsible for effectively communicating privileging updates to all necessary parties, including but not limited to Chief Medical Officers, Regional Leadership, Staffing Consultants, locums company contacts, Recruiting, etc. via email, phone calls, and weekly regional staffing calls. The PCT also creates and maintains strong working relations with each of Sound’s clients.


Essential Duties and Responsibilities:

  • Successfully manage and execute all privileging tasks related to the hospital privileging process for each healthcare provider going to a Sound Physicians program.
  • Request and facilitate the return of a complete and accurate privileging application, to include all required supporting documentation.
  • Escalate any “red flags” to Risk Management and appropriate Regional Leadership, Staffing Consultant & Recruiting Consultant, as applicable.
  • Facilitate reappointment files as needed – PCT will be responsible for tracking/running reappointment report monthly and following up to ensure providers are reappointed by reappointment date.
  • Responsible for uploading hospital correspondence and entering privilege dates once a file is complete into Salesforce.
  • Enter and maintain current privileging information in Salesforce.
  • Effectively communicate all privileging updates on the weekly regional staffing calls.
  • Responsible for completing weekly update emails to regional teams to include proactive updates on all files in process and using color code system.
  • Create and maintain strong client relationships.

Knowledge and Experience:

Organization:

  • Able to successfully manage multiple tasks at any given time
  • Able to keep track of multiple sources of data

Dealing with Ambiguity:

  • Able to shift gears comfortably
  • Isn’t upset when things are up in the air
  • Can comfortably handle risk and uncertainty

Strong Communicator:

  • Able to relay a concise message with relevant and necessary facts
  • Able to discriminate information to all colleagues, including upper management
  • Demonstrates effective listening skills

Sense of Urgency:

  • Able to work successfully under tight deadlines
  • Able to act promptly, decisively and without delay
  • Is timely when sharing information with others

Customer Service:

  • Is dedicated to meeting the expectations and requirements of internal and external customers
  • Able to establish and maintain effective relationships with customers

Education and Experience:

Minimum: High School education or equivalent

Preferred: College degree from an accredited institution or a combination of experience and NAMSS CPCS Certification

Minimum: Prior experience in the health services industry or prior experience in a similar administrative/project management role

Preferred:1-2 years provider privileging in a hospital Medical Staff Services Office, IPA/Medical Group or physician group practice


Other details:

  • Indoor office environment
  • No travel required
  • Sitting at desk for up to eight hours (w/breaks)
  • Working on computer for up to eight hours (w/breaks)

This job description reflects the present requirements of the position. As duties and responsibilities change and develop, the job description will be reviewed and subject to amendment.




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