Operations Support Specialist - 4420
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)
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