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    Operations Support Specialist - Knoxville, United States - TeamHealth

    TeamHealth
    TeamHealth Knoxville, United States

    3 weeks ago

    TeamHealth background
    Description

    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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