Medical Staff Credential Coordinator

Presbyterian System Services•Albuquerque, NM

13d•Onsite

About The Position

We are seeking a skilled Medical Staff Credential Coordinator to support the Medical and Allied Health Staff credentialing/primary sourcing verification program by coordinating and developing internal processes in order to meet requirements of federal and state regulatory and national accreditation agencies. Monitors timeliness of processes and provides feedback and/or reports to the appropriate manager. Audits accuracy of data entry in the credentialing database and provides feedback to appropriate internal and external customers. This position requires in-depth knowledge of medical and allied health staff credentialing processes and requirements. Investigates issues of concern and conducts follow-up as needed, generates reports and presents findings to the Manager of Medical Staff Affairs (MSA) or Manager of Credentials Verification Organization (CVO). Serves as a subject matter expert to other PHS departments and facilities as it relates to the processing of initial and/or reappointment applications and/or privileging. Responsible for assigned duties and responsibilities to ensure compliance with the Medical Staff Bylaws, Rules/Regulations and/ or the daily work flow of the CVO. Works with the appropriate manager in the development of policies and procedures to meet regulatory and accreditation requirements. Manages special projects as assigned.

Requirements

Public relation skills required in order to be effective and behave in a professional manner when dealing with practitioners and customers.
Requires excellent time management and organizational skills in order to handle multiple projects simultaneously.

Nice To Haves

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

Responsibilities

Works with the appropriate manager in the development of policies and procedures to meet regulatory and accreditation requirements.
Manages special projects as assigned
Assists the Medical Director Department leadership in managing activities to ensure a coordinated effort to fulfill departmental responsibilities within its long-range plans and goals
Exercises discretion and independent judgment involving the comparison and the evaluation of possible courses of action related to meeting primary source verification and credentialing requirements. Acts or reaches decisions independently after the various possibilities have been considered.
Investigates discrepancies in data submittal related to applications and privileging and formulates appropriate course of action.
Provides excellent customer service by responding to provider, client, and customer inquiries within specified timeframes, as required by the department
Maintains statistical information relative to the department s quality indicators
Responsible for orientation/training of new and current employees as it relates to departmental procedures, credentialing database, and daily work
Serves as a subject matter expert on appropriate national accreditation agencies and federal/state regulations pertaining to required credentialing processes
Maintains knowledge base of appropriate national accrediting agencies