Medical Staff Credential Coordinator

Overview

$2,500.00 Sign-on Bonus!!! Reports to the Director of Medical Staff Services. This position manages the provider appointment, reappointment and privileging process, and analyzes and manages data verification. This is accomplished through the accurate and timely processing of credentialing or re-credentialing applications according to Bylaws, Rules & Regulations, Policies and affiliated accrediting bodies (dependent on the facility assigned: Joint Commission, HFAP, and/or CMS).

This position works closely with the officers of the medical staff, department chairs, and administration to support and enhance the functions of the Medical Staff.

• MISSION:
  We deliver outstanding care, inspire health, and connect with heart.
• VALUES:
  Trust. Respect. Integrity. Compassion.
• SERVICE GOALS:
  Personally connect. Keep everyone informed. Be on their team.

• Obtains CV approval and submits an application to the practitioner within 48 hours of receipt.
• After approval of initial appointment, ensures system is updated with new status and privileges, and accessible to stakeholders and staff.
• Works with Managed Care, Central Verification Office (CVO), BMG Recruitment or others to obtain information on applicants.
• Perform file audits to ensure that all applications for initial appointment are complete and accurate.
• Maintains positive and proactive working relationships with others and provides timely and appropriate updates to credentialing status.
• Prepares individualized credential folders completely and in a timely manner for review by Department Chairmen and Credentials Committee.
• Ensure all associated regulations/standards are met.
• Prepares status reports of applicants to Credentials Committee, applicable hospital staff and Administration timely.
• Maintains current releases of information to satisfy hospitals' information requests or audits.
• Communicates practitioner appointments to hospital staff and administration.
• Answers the telephone promptly, professionally and pleasantly at all times.
• Maintains reappointment schedule for accurate and timely physician reappointment to the Medical Staff every two (2) years according to established guidelines and procedures.
• Distributes and processes reappointment information to the Medical Staff and their credentialing contact to ensure continuity of care.
• Inputs all reappointment information into credentialing database.
• After approval of reappointment and/or amended privileges, ensures system is updated with new status and privileges, and accessible to stakeholders and hospital staff.

• Coordinates, prepares agenda (with Chairman) and attends Credentialing Committee meetings.
• Prepares and organizes all information going to Credentialing Committee.
• Follows up timely on all information/recommendations from Credentialing Committee to ensure timely progress of applicants and/or privilege changes.
• Responds to requests from practitioners, office managers, managed care organizations and Administration on the status of applicants in a timely and professional manner.
• Prepares timely agenda with Chairman, records minutes, and distributes information for other Medical Staff meetings.
• Submit committee policies for review on a periodic basis.
• Maintains positive and proactive working relationships with Committee Chairmen and Members.
• Communicates action and directions from Medical Staff departments/committees to all appropriate area.

• Assists with timely collection and assembly of MEC agenda packets, maintenance of accurate meeting minutes, as well as appropriate follow-up.
• Maintaining and updating credentialing and privileging forms for all specialty practitioners, allied health professionals, and mid-level practitioners.
• Maintaining any provisional and/or proctoring time periods and coordinating the collection of evaluation forms required, obtaining recommendations by the department chairs and medical staff committees, forwarding information to the Board and performing all follow up as required within time frames established in bylaws and/or policy.
• Processing specific clinical privilege requests during interim periods not associated with initial appointment or reappointment.
• Collaborating with the Manager, Medical Staff Services and/or the VP, Medical Affairs as necessary when issues of criteria and/or qualifications are unclear and/or other issues arise as a result of these requests.

• Maintains accurate and timely database information on practitioners on staff for optimal communication.
• Prepares and maintains key elements accurately on database so that information may be submitted for appropriate requests in a timely manner.
• Process and prepares membership and privilege change request through appropriate department and committees.
• Process and notifies appropriate departments regarding resignation notices.
• Maintains strict confidentiality of…