Medical Staff Credential Coordinator

Presbyterian Healthcare Services • New York, NY

2d • Onsite

About The Position

Presbyterian Healthcare Services is hiring a Medical Staff Credential Coordinator to support the credentialing and primary source verification program for Medical and Allied Health Staff. The role coordinates and develops internal processes to meet federal and state regulatory requirements and national accreditation standards. It monitors process timeliness, audits credentialing database entries for accuracy, provides feedback to internal and external customers, investigates concerns and discrepancies, and reports findings to the Manager of Medical Staff Affairs or Manager of the Credentials Verification Organization. The coordinator also serves as a subject matter expert for other departments and facilities on initial and reappointment applications and privileging.

This position is based at Presbyterian Hospital in Albuquerque and works a day shift. It is a full-time, exempt position. The coordinator supports compliance with Medical Staff Bylaws and Rules/Regulations or the daily workflow of the Credentials Verification Organization, contributes to policy and procedure development, manages assigned special projects, and assists Medical Director Department leadership with coordinated departmental activities. The role also provides customer service, maintains quality-indicator statistics, and trains employees on departmental procedures, the credentialing database, and daily work.

Presbyterian Healthcare Services is a locally owned, not-for-profit health system serving New Mexico. The organization describes its mission as improving the health of patients, members, and the communities it serves, and notes its community health initiatives, including growers' markets and partnerships with local communities.

Requirements

• Three to five years of experience in medical staff affairs/credentialing, a credentials verification organization, or a related field preferred.
• Public relations skills to communicate effectively and professionally with practitioners and customers.
• Excellent time-management and organizational skills to handle multiple projects simultaneously.
• In-depth knowledge of medical and allied health staff credentialing processes and requirements.
• Associate degree or diploma in medical staff services studies or a related field preferred.
• Certification or eligibility for certification as a Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred.

Nice To Haves

• Associate degree or diploma in medical staff services studies or a related field.
• Three to five years of experience in medical staff affairs/credentialing, a credentials verification organization, or a related field.
• Certification or eligibility for certification as a Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS).

Responsibilities

• Support the Medical and Allied Health Staff credentialing and primary source verification program by coordinating and developing internal processes that meet regulatory and accreditation requirements.
• Monitor process timeliness and provide feedback or reports to the appropriate manager.
• Audit credentialing database entries for accuracy and provide feedback to appropriate internal and external customers.
• Investigate concerns and discrepancies in application and privileging data, determine appropriate courses of action, and conduct follow-up as needed.
• Generate reports and present findings to the Manager of Medical Staff Affairs or Manager of the Credentials Verification Organization.
• Serve as a subject matter expert for other departments and facilities on initial and reappointment applications and privileging.
• Perform assigned duties to ensure compliance with Medical Staff Bylaws, Rules/Regulations, and/or the daily workflow of the Credentials Verification Organization.
• Work with the appropriate manager to develop policies and procedures that meet regulatory and accreditation requirements.
• Manage special projects as assigned.
• Assist Medical Director Department leadership in coordinating activities to fulfill departmental responsibilities within long-range plans and goals.
• Respond to provider, client, and customer inquiries within specified timeframes and provide excellent customer service.
• Maintain statistical information related to departmental quality indicators.
• Orient and train new and current employees on departmental procedures, the credentialing database, and daily work.
• Maintain knowledge of applicable national accrediting agencies and federal and state regulations related to credentialing processes.

Benefits

• Comprehensive benefits package for benefits-eligible employees, including medical, dental, and vision coverage, short- and long-term disability, group term life insurance, and optional voluntary benefits.
• Employee Wellness rewards program with opportunities to earn gift cards and other rewards by participating in wellness activities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree