Coordinator Medical Staff Services WFH

HCA Healthcare • Nashville, TN

186d • Remote

About The Position

Do you want to join an organization that invests in you as a Medical Staff Services Coordinator? At Work from Home, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years. The incumbent provides services for the credentialing and privileging and database management functions of the Division Medical Staff Services Department (MSSD) including, but not limited to, Cactus file review for new applicants and re-applicants for membership and/or clinical privileges completed by the Credentialing Processing Center (CPC), updating the Cactus practitioner records in the Cactus database as appropriate, and utilizing HCA Healthcare tools for provisioning practitioners with appropriate access to HCA clinical systems and role based applications.

Requirements

• High School diploma or equivalent required.
• At least one (1) year previous credentialing experience preferred.
• Demonstrate accurate knowledge of relevant laws, policies, regulations, and standards affecting credentialing decisions.
• Excellent organizational skills; attention to detail.
• Analytical and problem-solving skills required.
• Proficient in Cactus Credentialing Software, Microsoft Office applications, Internet searches, and relevant databases.
• Ability to work independently and under pressure.
• Ability to communicate clearly and concisely, both verbally and in writing.
• Knowledge of medical terminology.
• Reasoning skills to solve practical problems.

Nice To Haves

• Associate Degree or higher preferred.
• HCA Healthcare credentialing and Cactus experience preferred.
• Certified Provider Credentialing Specialist (CPCS) preferred.

Responsibilities

• Initiate applications (RFC, RRFC, RFINCP) on behalf of Capital Division facilities for providers who meet minimal Threshold Eligibility Criteria.
• Apply the credentials evaluation process uniformly to all assigned RFC/applications, R-RFC/re-applications and Request For Increased, New Clinical Privileges, or Change in Prescriptive Authority (RFINCP) requests.
• Communicate with providers and delegates to obtain missing or incomplete information and regarding status of requests/applications.
• Facilitate review of clinical privilege requests using approved eligibility criteria and maintain privilege content within the Cactus system.
• Compile and analyze any available internal data and information for an assessment of qualifications and competencies for R-RFC/re-applications.
• Summarize and prepare credentialing information, including information about flagged concerns, for facility review.
• Facilitate requests for temporary privileges communicating with CPC leadership as needed.
• Perform activities that support the facility dynamic expiration management process.
• Perform facility post Board of Trustees processes including updates to the Cactus system record.
• Utilize the Cactus system to create and upload applicable communication letters to providers based on Board/Facility actions.
• Scan Board/Facility communication and approval documentation to Cactus provider records.
• Generate and save Cactus Downtime reports monthly for each facility.
• Respond to emails and voicemails promptly; monitor shared mailbox and calendar.
• Perform hospital non-privileged provider licensure, NPI and exclusion checks.
• Support and facilitate information sharing in accordance with compliance policies.
• Assist with preparation for regulatory, internal and accreditation surveys.
• Respond to annual QIO Audits on behalf of Division facilities.
• Manage Physician Learning Center/Healthstream database for provider education.
• Submit eSAF system access requests for new access, removals and changes to existing access.
• Manage and update the Meditech/eHR Dictionary related to practitioner permissions and privileges.
• Attend Division Medical Staff Services meetings as needed.
• Collaborate with Division leaders on pertinent projects as needed.

Benefits

• Comprehensive medical coverage with low copay options.
• Additional options for dental and vision benefits.
• 401(k) Plan with a 100% match on 3% to 9% of pay.
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock.
• Family support through fertility and family building benefits.
• Referral services for child, elder and pet care.
• Education assistance including tuition and student loan support.
• Time Away From Work Program including paid time off and paid family leave.
• Employee Health Assistance Fund offering free employee-only coverage.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED