Medical Staff Service Specialist III - Medical Staff Admin - F/T Days HYBRID

University of California System • Irvine, CA

131d

About The Position

The incumbent is an experienced professional who applies credentialing theory, knowledge, and in-depth understanding of the field to perform a full range of responsibilities within this role. This individual is responsible for assisting in the development, implementation, and monitoring of credentialing processes and procedures required by the Medical Staff bylaws, state and federal laws, hospital accreditation, and NCQA standards. Credentials practitioners, maintains accurate physician data, coordinates Medical and/or University Physicians and Surgeons (UPS) staff meetings, prepares a variety of reports and prepares policies and procedures to meet licensing requirements. Provides suggestions for improvements in department credentialing and licensure and serves as a liaison between the medical staff and all departments to provide overall continuity. The incumbent provides other general administrative support to the department as needed or assigned.

Requirements

• Thorough knowledge of data management and documentation methods used in medical credentialing.
• Strong interpersonal and organizational skills.
• Strong analytical and problem solving skills.
• Proficient in Microsoft Office, Word, PowerPoint, Excel, and Outlook.
• Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties.
• Must demonstrate customer service skills appropriate to the job.
• Must become CPMSM and/or CPCS certified within 12 months of employment.
• Minimum of two (2) years relevant credentialing experience.
• Knowledge of the Joint Commission and NCQA standards, California Code of Regulations Title 22, and CMS regulations regarding Conditions of Participation.
• Excellent written and verbal communication skills in English.
• Demonstrated understanding of medical terminology.
• Bachelor's degree in related area and/or equivalent experience/training.
• Ability to use sound judgment in ambiguous situations and effectively manage change.
• Ability to maintain a work pace appropriate to the workload.
• Ability to independently set and meet deadlines, multi-task, and effectively manage competing priorities.
• Ability to establish and maintain effective working relationships across the Health System.
• Ability to coordinate and resolve issues in a timely manner.
• Ability to complete job responsibilities accurately with limited supervision and oversight.

Nice To Haves

• Knowledge of University and medical center organizations, policies, procedures, and forms.
• Current NAMSS certification as CPCS and/or CPMSM.

Responsibilities

• Assist in the development, implementation, and monitoring of credentialing processes and procedures.
• Credential practitioners and maintain accurate physician data.
• Coordinate Medical and/or University Physicians and Surgeons (UPS) staff meetings.
• Prepare a variety of reports and policies to meet licensing requirements.
• Provide suggestions for improvements in department credentialing and licensure.
• Serve as a liaison between the medical staff and all departments.
• Provide general administrative support to the department as needed.

Benefits

• Medical insurance
• Sick and vacation time
• Retirement savings plans
• Access to a number of discounts and perks

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Educational Services
• Education Level: Bachelor's degree