Rating Specialist jobs in Sarasota, FL

Job Summary

Supports the centralized credentialing program and related tasks for Physician and Advanced Practice Professional (APP) applications. This includes overseeing, monitoring, and maintaining all activities in the credentialing process to ensure compliance with regulatory, legal and company requirements and standards.

Required Qualifications

- Requires a Bachelor's Degree in Business, Healthcare or related field. Work experience can substitute on a year for year basis for the required degree.- Require Certified Provider Credentialing Specialist (CPCS) certification; or must be eligible to sit for exam within three (3) years from date of hire.- Require one (1) year of experience in medical staff services, physician credentialing, or related experience.

Preferred Qualifications

- Prefer the ability to develop and maintain effective relationships with medical staff and other professionals in order to engender confidence, respect and dependability.- Prefer demonstrated organizational, written, and oral communication skills.- Prefer the ability to work at a high level of accuracy and within the required timelines.- Prefer the ability to adapt to rapidly changing priorities, remain flexible and act as a team player.- Prefer demonstrated effective organizational skills with the ability to manage multiple tasks and priorities.- Prefer demonstrated ability to problem-solve and make decisions independently yet takes direction when needed.- Prefer extensive knowledge of accreditation standards and other regulatory agencies and knowledge of verification sites and modalities.- Prefer the ability to understand legal ramifications of the process and interpret rationale for performing verification.- Prefer working knowledge of business software systems, including standard desktop office applications (Microsoft Office products) and incorporation of technology into all operational functions.

Mandatory Education

Preferred Education

Required License and Certs

Preferred License and Certs