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)