Privileging Coordinator - Remote Job at Sound Physicians

Sound Physicians Westlake, TX 76262

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 Sound Privileging Coordinator (PCD) assists all provider types, with the exception of 3 Party practitioners, with any and all hospital privileging requirements for a specific assignment. The PCD partners directly with the Sound Privileging Consultant 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 PCD serves as the providers’ main point of contact for all privileging requirements related to a specific assignment.


The PCD is responsible for effectively communicating privileging updates to the provider, the Sound Privileging Consultant, and the Recruiter via both emails and phone calls.


Essential Duties and Responsibilities:


  • Successfully manage and execute all privileging tasks related to the hospital privileging process for each physician based off of the requirements set forth by the Sound Privileging Consultant.
  • Pre-fill all privileging application forms before sending to the provider.
  • Request and facilitate the return of a complete and accurate privileging application, to include all required supporting documentation.
  • Ensure that all Sound documents are received and complete (Demographics/ECHO Application, Authorization and Release of Information Form, Attestation Form, and Current CV).
  • Ensure that a current copy of the NPDB has been received
  • Review online verifications for any and all licenses, past and present (state medical license, DEA, and CSR if applicable), NPI, Board Certification, SAM and OIG.
  • Escalate any “red flags” to Risk Management and the Sound Privileging Consultant.
  • Complete reappointment files as directed by the Sound Privileging Consultant.
  • Enter and maintain current privileging information in Salesforce.
  • Effectively communicate all privileging updates to the Sound Privileging Consultant.
  • Create and maintain strong internal relationships with Recruiting and Sound Privileging Consultant.

Knowledge and Experience:


Accuracy & Attention to Detail:


  • Able to discriminate and transpose information with minimal errors
  • Able to review incoming documentation for completeness and errors

Customer Service:


  • Is dedicated to meeting the expectations and requirements of internal and external customers
  • Able to establish and maintain effective relationships with customers
  • Able to effectively share information, especially by telephone

Time Management & Prioritization:


  • Able to determine higher value tasks and prioritize work accordingly
  • Able to organize tasks in ways that allow for deadlines to be met consistently
  • Able to quickly move from one task to the next

Self-Starter:


  • Able to work independently with minimal direction
  • Able to work proactively to ensure all assigned tasks are completed

Ability to Multitask:


  • Able to quickly adapt plans to changing circumstances
  • Able to maintain composure under pressure

Education and Experience:


Education:


  • Minimum: High School education or equivalent
  • Preferred: College degree from an accredited institution or a combination of experience and NAMSS CPCS Certification

Experience:


  • Minimum: Prior experience in the health services industry or prior experience in a similar administrative 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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