JOB DESCRIPTION OVERVIEW:
This position is responsible for working independently managing multiple malpractice renewals, rosters, start-ups, M&As, special projects and ensuring certificates are issued and maintained according to policy/carrier and broker processes. Works across all service lines and groups requiring ability to prioritize and manage a shifting workload. Ensures appropriate and professional communication with internal and external stakeholders. Understands importance of accurate and timely documentation in all software systems while analyzing data and reports. Works with a small team and collaborates with the larger organization including senior leaders in Operations, Risk, Treasury and our external brokers/carriers.
ESSENTIAL DUTIES AND RESPONSIBILITIES: Issue and manage malpractice certificate process and policy as requested and/or needed. Work in a spirit of continued process improvement and automation improvements. Prioritize tasks and requirements based on business needs while adhering to malpractice process and regulations. Work with business leaders for new service lines, start-ups and M&As to determine associated malpractice requirements. Review, research and analyze certificate request to ensure accurate and correct certificates are requested and issued. Accurate and timely documentation in all systems. Research and manage audit requests from carriers, brokers and TeamHealth. Collaboration with System Administrators of various software systems. Perform release testing and work with EIT as needed for future software needs. Manage multiple renewal schedules and processes including adherence to timelines, requirements, and schedules. Ensure accuracy / maintenance of essential spreadsheets / trackers including the upper and lower limits schedule. Be / or become a subject matter expert on the process, policies, regulations and software. Understand multiple malpractice carrier regulations and processes. Coordinate, communicate and align with regional offices on renewals to ensure timely and accurate renewals. Provide guidance, training and assistance to the regions on questions. Provide necessary education to regions and senior leaders. Understand and manage Patient Comp Fund states and processes. Collaborate with treasury to ensure timelines are created and followed. Develop internal and external relationships. Update, evaluate and audit Carrier Rosters as needed. Manage document storage of all individual and renewal certificates. Update Carrier applications in software system. Add Carrier, Policy, and Renewal information in associated software system(s). Manage malpractice applications including populating reviewing submitting and tracking malpractice applications. Obtain malpractice history for malpractice applications. Collaborate with clinicians when issues or questions arise regarding their coverage. Understands importance of role and work related to clinician's ability to provide care and protect their license/livelihood. Manage invoices including timely processing, follow-up and comply with due dates. Demonstrate willingness to assist with non-PLI projects as time allows or business critical needs dictate. QUALIFICATIONS / EXPERIENCE: Two (2) years of college (Bachelor's degree, preferably). Three (3) to five (5) years of experience in credentials position. Ability to work independently with minimal direct supervision. Ability to analyze, interpret and draw references from reports and findings. Ability to collaborate with internal and external resources and be able to meet deadlines. Ability to adapt to flexible work schedules and frequent interruptions. Ability to problem solve, make decisions, and effectively communicate decisions. Excellent time management skills Excellent problem-solving skills Data entry accuracy Excellent research skills Proficient computer skills (word-processing, spreadsheet, database management) Advance Excel skills (preferably) Ability to analyze large volume of malpractice data for accuracy and inconsistency Superior written and verbal communication skills Ability to provide professional, high level customer service Database management skills including querying, reporting and document generation SUPERVISORY RESPONSIBILITIES: None PHYSICAL / ENVIRONMENTAL DEMANDS: Job performed in a well-lighted, modern office setting. Moderate travel required (may be frequent at times) Occasional lifting/carrying (15 pounds or less); Moderate to high stress level. Prolonged sitting. Prolonged computer/PC. Prolonged telephone use. Prolonged work hours (occasional evenings, weekends)
