Adeptus Health Credentialing Specialist in Lewisville, Texas

Adeptus Health is expanding access to the highest quality emergency medical care through it's network of freestanding emergency rooms and partnerships with premier healthcare providers. In Texas, Adeptus Health owns and operates First Choice Emergency Room and First Texas Hospital. In Colorado, in partnership with University of Colorado Health, Adeptus operates UCHealth Emergency Room. In Arizona, in partnership with Dignity Health, Adeptus operates Arizona General Hospital and freestanding emergency rooms. In Louisiana, Adeptus Health has a partnership with Ochsner Health to improve access to emergency medical care.

The Credentialing Specialist provides direct support to the Physician Service Department as it relates to all aspects of Medical Staff credentialing and privileging. Performs a wide range of administrative and office support activities for the Physician Services and scheduling department. The Administrative Assistant coordinates Credentials Committee meetings including preparation of meeting packets, reports, and prepares meeting minutes. Interacts with Senior Management billing, IT, and Accounting on processes, as it relates to provider onboarding. Generates reports from Medical Staff database to support FCER regulatory status and monitors maintenance of required documents (professional license, DEA, DPS, ATLS, PALS, ATLS, and Board Certification). Ensures that all high quality standards are maintained and provides feedback to improve processes while contributing to the development of credentialing policies and procedures. Attends to administrative and clerical details utilizing initiative, problem analysis techniques, good judgment and confidentiality. This is a Non-Exempt position.

Essential Job Functions:

• Answer, screen, and transfer inbound phone calls

• General clerical duties including copying, faxing, and mailing

• Maintain electronic and hard copy filing system

• Retrieve documents from filing system

• Handle requests for information and data

• Resolve administrative issues and inquiries

• Prepare and modify documents, including correspondence, presentations, reports, drafts, memos, and emails

• Prepare agendas for meetings and prepare schedules

• Record, compile, transcribe and distribute minutes of meetings

• Assures all data is entered into system and/or tracking spreadsheets in a timely and thorough manner per policy and procedures

• Tracks and ensures that all licenses and certifications are current

• Prepares accurate and timely reports for internal staff

• Interfaces with Senior Management, Billing, IT, Accounting and Patient Accounts Departments

• Demonstrates professional conduct and complies with company and departmental policies and procedures

• Maintains systems to identify medical staff members and their clinical privileges; prepares and maintains other related records and reports

• Monitors and suggests revisions to credentialing, onboarding, and processes as needed

• Adheres to Adeptus Health attendance policy as outlined in the Employee Handbook

Supervisory Responsibility:

There are no supervisor responsibilities required.

Other Duties:

Please note this job description is not designed to cover in detail, or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.


• Understands the company’s mission and carries this out in day-to-day operations

• Detail oriented with excellent organizational skills and customer service focused towards internal and external clients

• Manages processes to a deadline

• Excellent problem solving and decision-making skills

• Interacts with all levels of staff and outside clients in a professional manner while developing relationships with others that will enhance the business unit

• Excellent interpersonal and communication skills with the ability to work independently as well as part of a team

• Limits access to protected health information (PHI) to the information reasonably necessary to do the job and shares such information only on a need to know basis for work purposes. Handles confidential materials while using sound judgment. Files all office records as necessary

• Plans and organizes work effectively and ensures its completion

• Demonstrates initiative and strives to continually improve processes and relationships

• Analyzes situations, identifies problems and identifies and evaluates alternative courses of action through utilization of principles

• Demonstrates emphasis on improving quality of staff, systems and environment

• Must be highly effective in working objectively with a diverse group of people and demonstrates communication, organizational, administrative and office managerial skills

• Develops an understanding of responsibilities for Performance Improvement activities and participates in such activities

• Accepts and promotes organizational goals and functions with minimal supervision

• Exhibits proficiency with data entry and computer skills for generation of daily office communication

• Complies with established Safety and Patient Safety Program practices

Education and Experience:

• Bachelor’s Degree in Business, Health Care Administration or similar field preferred

• Proficiency with standard office equipment

• Experience with clerical and administrative procedure such as filing and record keeping

• Knowledge of principles and practices of basic office management

• Must have a clear and pleasant speaking voice

• Must be able to work independently, and prioritize workload to meet established goals and timelines

• Must have excellent organizational skills and the ability to manage multiple projects simultaneously

• An understanding of primary source verification of healthcare provider credentials

• Must have exceptional verbal and written communication skills

• Experience in provider credentialing

• Advance Microsoft Office Suite skills

Shift: Day

Company: Adeptus Health - Corporate