Coordinator Medical Staff Services

Credentialing Coordinator

The primary work location for this position may be determined based on the successful candidate's residence. The position may be assigned to the most appropriate organizational location, taking into consideration operational needs and geographic alignment.

Position Summary:

Under general supervision coordinates processing of applications, appointments, privileging staff and health professionals. Responsible for credentialing/ privileging physicians and other healthcare professionals, managing meetings, resolving issues and complaints, ensuring healthcare providers adhere to quality regulations and policies, maintaining credentials/privileges. May delegate responsibilities and/or provide notification to others as to status of the above functions. Collects and inputs call schedules, coordinates physician orientation, works with medical staff committees on agenda/minutes, and support of other medical staff functions.

Essential Functions and Responsibilities:

1. Organizes and oversees the credentialing approval process for medical staff and allied health professionals, including new staff applications and privileges, reappointments and updated privileges, primary source verification of licensure, education, training, etc. Maintains and validates this information as necessary in primary physician database.

2. Prepares agendas and related materials for highest level medical staff committees. Prepares and keeps permanent record of proceedings (minutes) and actions of each committee. Assures expeditious follow-through on action items and policy changes. Disseminates information accordingly. Assures overall continuity of medical staff activities.

3. Coordinates the management the credentialing database and associated modules, ensuring accuracy of data and reporting to downstream systems. Monitors critical data for extensive analysis and report generation.

4. With the department manager and other department leaders, plans, develops and implements long and short- term goals for medical staff as approved by the medical staff committee.

5. Deals sensitively and professionally with physicians regarding problems and queries.

Qualifications:

Required:

· High School Diploma or equivalent

· Five years of medical staff/credentialing or health care setting experience.

OR

· Associate degree in business, health care administration, applied sciences, or related field.

· Two years of medical staff/credentialing or health care setting experience.

Preferred:

· Bachelor's degree in business, health care administration or related field.

· Certification by the National Association Medical Staff Services (NAMSS) as a Certified Professional in Medical Services Management (CPMSM) or a Certified Provider Credentialing Specialist (CPCS).

Knowledge, Skills, and Abilities:

1. Excellent verbal and written communication skills; ability to communicate effectively with medical staff and hospital personnel.

2. Ability to be an active and thoughtful participant in institutional initiatives, meetings, and committee work. Conserve resources in an efficient and cost-effective manner.

3. Working knowledge of hospital accreditation, medical/allied staff credentialing, privileging, appointment and licensure requirements.

4. Ability to organize and prioritize work, multitask and engage in continuous work redesign to generate qualitative and quantitative efficiencies.

5. Excellent attention to detail.

6. Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources.