Nashville General Hospital Careers

Description

• Processes temporary privileges according to the Medical Staff Credentialing Policy, maintains detailed records about appointment timeframes and demographics
• Works closely with service line leaders to understand needs and schedules as well as with the CVO to aid in the timely appointment, reappointment and addition of privilege processes
• Reviews practitioner’s privilege requests to verify that they meet established criteria, are within their scope of practice, and are presented accurately and in a prompt fashion to the Credentials Committee, Medical Executive Committee and the Board as directed 
• Leads payer enrollment for new practice locations and entities in a professional and timely manner
• Completes and processes payer enrollment applications for Providers for Medicare and Medicaid and submits required information for delegated credentialing for the remaining insurance carriers, aligned with PHO policies and procedures
• Prepares and presents material for routine audits for delegated credentialing
• Maintains providers profiles and NPI’s, CAQH and internal spreadsheets
• Supports all providers and external customers with finding solutions to concerns, and acts as a liaison between the providers and other hospital departments (IT, security, HR, administration) 
• Coordinates and completes special projects promptly, appropriately prioritizes all tasks so that deadlines are met with continued focus on quality, and keeps all stakeholders apprised of any critical or major situations
• Maintains schedule for reviewing policies and procedures, and assists in policy revision process
• Assists in facilitating educational programs following ACCME accreditation guidelines
• Coordinates and maintains accurate on-call schedules for Emergency Department coverage, and a creates on-call schedules per contractual obligations and department rules and regulations
• Conducts physician onboarding to include processing paperwork needed for IT access, paperwork needed for badge, and physician orientation for all practitioners, residents and students as needed
• Conducts ID verification per the Medical Staff Credentialing Policy for all new Medical Staff members and privileged providers
• Coordinates all Medical Staff meetings, including General Medical Staff meetings, and responsible for scheduling room, catering requests, preparing attendance sheets, and minutes 

• Associates degree in Business or healthcare or equivalent combined professional training and experience; Bachelor’s degree preferred
• Minimum of 7 years of experience as a Credentialing Specialist or Medical Staff Coordinator
• NAMSS Certification or Dual Certification (CPCS or CPMSM) or actively pursuing certification with success within one year from hire date required

• Benefits begin on the first day of the month after one full calendar month of employment 
• Programs to reduce share of deductible and total out-of-pocket expenses 
• Metro Health Incentive Program - Access to high quality healthcare without incurring out-of-pocket expenses 
• Short and Long-Term Disability - up to 60% of eligible weekly pay 
• Life Insurance - Metro provides you with basic life and AD&D coverage equal to $50,000 ($32,500 if you are age 65 or older), at no cost to you.
• Retirement Plan - eligible up to IRS max limits and includes company contribution 
• Shift and Weekend Differential Pay Offered on Nights and Weekends 
• Tuition Reimbursement for employee and dependents 
• 12 paid holidays - any holiday worked is another holiday banked 
• Flexible Spending Accounts 
• Free Parking for all employees 

We are an E-Verify employer.

For more information, please click on the following links:
E-Verify Participation Poster: English | Spanish
E-Verify Right to Work Poster: English | Spanish