Med Staff Credentialing Coord - Full Time - Day

Hackensack Meridian Health•Neptune Township, NJ

5d•$25

About The Position

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Medical Staff Credentialing Coordinator will complete the credentialing process from initial contact with the applicant through their final appointment to the Medical and Dental Staff in compliance with its Constitution and Bylaws and Rules and Regulations, as well as with the appropriate accrediting and regulatory agencies. Credentialing Coordinator is the front line person for ensuring that we have the most qualified providers for patient safety.

Requirements

Two years credentialing experience in a Medical Staff Office with knowledge of medical credentialing and privileging procedures and standards, as well as knowledge of related accreditation and certification requirements.
Demonstrates reliability, tactfulness, honesty and discretion.
Demonstrates attention to detail and be able to prioritize multiple tasks.
Adapts to work schedules and frequent interruptions by demonstrating the ability to be flexible.
Demonstrates exemplary organizational skills while setting appropriate priorities.
Ability to communicate effectively, both orally and in writing.
Demonstrates exemplary communication skills.
Exemplifies excellent customer service skills.
Demonstrates critical thinking and problem solving skills.
Excellent written and verbal communication skills.
Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.

Nice To Haves

Associate`s degree or equivalent experience
Knowledge of ECHO credentialing software
NAMSS certification as a Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS)

Responsibilities

Monitors the initial appointment process for the Medical Staff ensuring compliance with regulatory bodies (The Joint Commission, CMS, federal and state), as well as the Medical Staff Constitution and Bylaws and Rules and Regulations.
Coordinates and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility.
Completes thorough background investigation, research and primary source verification.
Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up.
In accordance with TJC standards, prepares the Focused Practice Professional Evaluation (FPPE) Plan with the Section Chief and or Department Chair.
Follows up on the FPPE plan to be sure all elements are completed.
Prepares credentials file for presentation to the Credentials Committee, flagging any issues the Committee and/or Chairman may need to be alerted to.
Works closely with Department Chairs, administrators, physicians and applicants to facilitate resolution of credentialing issues and concerns.
Serves as facilitator for the Credentials Committee, meeting with the committee chair to review agenda issues prior to meeting.
Assigns reviewers for each applicant prior to Credentials Committee meeting and provides files and material to reviewer. Follows up on any questions reviewer might have, obtaining additional information from applicant or outside sources.
Processes requests for privileges, ensuring compliance.
In accordance with TJC standards, conducts Ongoing Professional Practice (OPPE) every eight months using Oracle BI or the HMH selected vendor.
Follows up on OPPE outliers with the Section Chief and or Department Chair.
Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise.
Utilizes credentialing database, optimizing efficiency, and performs query, report and document generation.
Documents all actions of the Credentials Committee.
Processes all actions following approval by the Board of Trustees.
Processes temporary privileges for new staff members.
Completes and submits SMS for temporary privileges, resignations, status changes, new access etc.
Assists applicants and their departments with leaves of absence and resignations.
Assists with onboarding for new members of the medical staff.
Reviews Sanction sites for practitioner license/managed care actions.
Covers for Medical Staff Specialist-Reappointments when needed.
Assists with numerous physician social and administrative functions hosted by the medical center.
Performs other duties/projects as required.
Adheres to HMH Organizational competencies and standards of behavior.