Medical Staff Coordinator (Credentialing / Provider Enrollment)

Island Health Careers•Anacortes, WA

3d•Onsite

About The Position

We’re seeking a Medical Staff Coordinator to join our Quality & Risk Management Office—the department that ensures all providers are properly credentialed and privileged to deliver safe, high-quality care. If you’re organized, detail-driven, and want to make a meaningful impact behind the scenes in healthcare, this role offers an excellent opportunity to grow your career! At Island Health, people are at the center of everything we do. As a part of the Quality & Risk Management Team, you’ll play a vital role in supporting our mission to care for those who care for others. You’ll help create a positive and seamless experience for every team member — ensuring they feel valued, supported, and heard.

Requirements

Position requires attention to detail along with effective organization and prioritization skills.
Must demonstrate exceptional interpersonal skills and work effectively and efficiently with healthcare professionals both in and out of the hospital environment
Must be self-motivated and demonstrate initiative with the ability to work independently; however open to take direction as appropriate.
Knowledge of specific legal statutes (State and Federal), requirements of DNV, DOH and other regulatory bodies, and Medical Staff Bylaws as they relate to Physician Credentialing, Peer Review, Physician Quality Assurance, and other hospital/interdepartmental functions, is necessary.
Ability to handle sensitive and confidential information regularly.
A minimum of three (3) years of advanced administrative experience in a healthcare setting required with previous credentialing experience strongly preferred.
Associate Degree encouraged.

Nice To Haves

Certified Provider Credentialing Specialist (CPCS) strongly preferred.

Responsibilities

Responsible for the administration of the medical staff organization and serves as an essential link between senior management and the medical staff to promote and enhance good communication and a positive working relationship.
Ensures compliance with the accrediting and regulatory agencies in regards to credentialing while developing & maintaining a working knowledge of the statutes and laws.
Maintains a working knowledge of the medical staff bylaws, rules and regulations and laws.
Responsible for establishing, contributing to and maintaining continuity in the planning, development and implementation of standards applicable to the medical staff organization, relating to credentialing, quality and administrative functions.
Coordinates insurance credentialing process for all providers that Island Hospital bills insurances for professional fees. This process includes working with providers to ensure documentation is completed in a timely manner, submitting information to the credentialing service, tracking progress of credentialing service for timeliness and communicating to managers the status of the provider’s credentialing on a weekly basis.
Responsible for monitoring budget expenses for the department.
Develops operational plans and assures development of and compliance with operating and capital budgets and achievement of financial performance.
Interactions with regional and corporate colleagues with MSO/Credentialing responsibilities and internal (credentialed providers, hospital departments, CVO etc) and external (managed care agencies, general public, etc.) customers.
Responsible for coordination and preparation of medical staff functions; prepared for and coordinates the continuing medical education program.
Performs bookkeeping activities for the medical staff
Ensures that all expirables (licenses, insurance, certifications etc.) are reviewed, obtained and managed on a monthly basis according to the rules and policies.
Maintains the confidentiality of all business/work and medical staff information
Manages the flow of information between administration, credentials, MEC members, Medical Staff leadership (including Service, Department and Section Chairpersons) and the Chief of staff.
Maintains MEC Educational Contracts
Conducts physician orientation for new/prospective providers
Liaison between legal department and the medical staff committees and Chief of Staff
Processing of physician credentials for initial appointment/reappointment
Enters/Maintains physician data in Meditech (Privileged and non-privileged providers (1200+ providers annually).
Collects and tracks Medical staff dues.
Organizes and coordinates regular (14) and ad hoc meetings for the Medical Staff.
Prepares records, such as minutes, notices and memorandums for medical staff meetings.
Acts as custodian for medical staff documents and records.
Prepares memorandums outlining any changes in policies, procedures, bylaws rules and regulations.
Prepares correspondence as requested from committee chairs for peer review follow-up.
Acts as liaison between administration and the medical staff by handling communications such as letters from the medical staff to administration or from administration to medical staff. Also handles appointment setting and meeting logistics between administrators and physicians as requested.
Develops monthly calendars; medical staff, ER, admitting physician EKG calendar.
Maintain MSO physician database of 200+ providers (PrivPlus)
Maintains on-line Medical Staff directory and clinical privileges.
Generates Physician Profile Reports for re-credentialing.
Process reference/verification requests from other hospitals, credentialing agencies, state departments and specialty boards.
Facilitates effective peer review and tracks actions and correspondence.
Must have demonstrated ability to interact positively with Administration, Directors, Managers, Supervisors, peers, co-workers, subordinates, patients and visitors.
Must meet regular attendance standard and must stay at or below average sick leave utilization levels.