Medical Staff Credentialing & Coordinator

Willapa Harbor Hospital•South Bend, WA

5d•$27 - $38•Onsite

About The Position

Coordinates and ensures that the privileging credentialing process for medical staff and allied health professionals are met, by following the medical staff bylaws, rules and regulations, policies and standards. Prepares information for Medical Staff Committees to the Board of Commissioners. Advise Medical Staff and Board of current regulatory requirements and best practices related to credentialing and privileging. Mains confidentiality of the contents of the physician files and Medical Staff committee meetings, releasing information only within the established guidelines. Peer Review is kept confidential and not disclosed to outside Medical Staff. Coordinates and monitors the review and analysis of medical staff/providers applications and accompanying documentation for privileges ensuring applicant eligibility including verification of competence, medical/professional education, residency, internships, fellowships. Board certifications, healthcare affiliations, work history, licensure, malpractice coverage and privileges the applicant is requested. Primary Source Verification. Maintains membership roster. Process all reference inquiries (affiliation requests) from other organizations. All request for evaluations or OPPE/FPPE be given to the appropriate department/chair of Medical Staff for processing. Mains a working knowledge of Medical Staff Bylaws, Rules and Regulations and other regulatory agencies guidelines as they pertain to the Medical Staff. Maintain core privileging forms for each specialty that is offered at the facility. Work closely with CMO during initial appointment of new providers. Identifies issues/questions that require additional research and evaluation, validates discrepancies and ensures appropriate follow up for completion of credentialing process and accuracy. Receive and process completed medical staff initial and reappointment applications in a timely manner in accordance with medical staff bylaws and regulatory and licensing requirements. Develops medical staff privileges and procedures as needed. Monitor master list and review licenses, DEA, malpractice coverage and certifications. Maintain the master list of all providers in active or inactive status. Coordinates with providers and agencies to ensure staffing of the ER. Creates and maintains the ER Call Schedule, with information received from CMO. Produces materials as required and distributes to appropriate individuals. Follows up on correspondence as requested. Work closely with CMO to schedule meetings with Physicians. Preparation of documentation for medical staff committee and board chair, including agenda, minute's, and other documentation. Send information on all new providers that we bill for to Revenue Cycle Director for payor privileging. Send all new providers onboarding form through onboard in MultiCare, Verify Comply & NPDB. Mains all DNV required documentation and training for providers.

Requirements

High School diploma or GED equivalent. Associate's degree in healthcare, business administration or equivalent education preferred.
Must have Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) or willing to obtain within 3 years of starting in the position.
Experience required working as a medical staff professional, or in a medical staff credentialing capacity
Exceptional prioritization, time management, and organization skills required.

Nice To Haves

Associate's degree in healthcare, business administration or equivalent education preferred.

Responsibilities

Coordinates and ensures that the privileging credentialing process for medical staff and allied health professionals are met, by following the medical staff bylaws, rules and regulations, policies and standards.
Prepares information for Medical Staff Committees to the Board of Commissioners.
Advise Medical Staff and Board of current regulatory requirements and best practices related to credentialing and privileging.
Maintains confidentiality of the contents of the physician files and Medical Staff committee meetings, releasing information only within the established guidelines.
Coordinates and monitors the review and analysis of medical staff/providers applications and accompanying documentation for privileges ensuring applicant eligibility including verification of competence, medical/professional education, residency, internships, fellowships. Board certifications, healthcare affiliations, work history, licensure, malpractice coverage and privileges the applicant is requested. Primary Source Verification. Maintains membership roster.
Process all reference inquiries (affiliation requests) from other organizations.
Maintains a working knowledge of Medical Staff Bylaws, Rules and Regulations and other regulatory agencies guidelines as they pertain to the Medical Staff.
Maintain core privileging forms for each specialty that is offered at the facility.
Work closely with CMO during initial appointment of new providers.
Identifies issues/questions that require additional research and evaluation, validates discrepancies and ensures appropriate follow up for completion of credentialing process and accuracy.
Receive and process completed medical staff initial and reappointment applications in a timely manner in accordance with medical staff bylaws and regulatory and licensing requirements.
Develops medical staff privileges and procedures as needed.
Monitor master list and review licenses, DEA, malpractice coverage and certifications.
Maintain the master list of all providers in active or inactive status.
Coordinates with providers and agencies to ensure staffing of the ER.
Creates and maintains the ER Call Schedule, with information received from CMO.
Produces materials as required and distributes to appropriate individuals.
Follows up on correspondence as requested.
Work closely with CMO to schedule meetings with Physicians.
Preparation of documentation for medical staff committee and board chair, including agenda, minute's, and other documentation.
Send information on all new providers that we bill for to Revenue Cycle Director for payor privileging.
Send all new providers onboarding form through onboard in MultiCare, Verify Comply & NPDB.
Maintains all DNV required documentation and training for providers.