Job Description

Responsible for coordination and oversight of the hospital Medical Staff Services department including collaborative participation with the Centralized Credentialing Services (CCS) on the medical staff credentialing and recredentialing processes. Coordinates and manages medical staff meetings and the flow of the information from the Medical Staff Committees through the Medical Executive Committee to the Board of Trustees. Responds to verification requests. Acts as a resource to the medical staff regarding bylaws, rules and regulations, policies, regulatory and accreditation requirements and standards. Assists in compliance with the accrediting and regulatory agencies (i.e., Joint Commission, NCQA, URAC, HFAP) in regard to credentialing while developing and maintaining a working knowledge of the statutes and laws. Coordinates the continuing medical education program and performs bookkeeping activities for the medical staff. Work closely with and maintain close communications with medical staff leaders, hospital administration and legal counsel on selected medical staff issues. Maintains the confidentiality of all business/work and medical staff information. Functions as a member of the team to assure optimum performance of the department.
EDUCATION AND EXPERIENCE: Associate degree required. Five (5) years in a hospital and/or managed care credentialing setting required. Medical staff services experience, preferred. Knowledge of credentialing database, Visual Cactus, preferred. Six Sigma work environment experience, preferred. High level of energy to work in a fast-paced environment often including time deadlines, frequent interruptions, heavy workload, multiple demands and multi- tasking. Ability to be flexible. Strong organizational skills and ability to prioritize and re-prioritize as necessary. Excellent and effective communication skills both written and verbal. Word processing, data input, strong computer skill and letter composition skills required. Ability to efficiently handle designated responsibilities independently in an accurate and timely manner. Ability to positively interact with physicians, hospital personnel, and guests both in the office and on the phone. Excellent customer service skills required. Excellent problem-solving skills. PREFERRED QUALIFICATIONS: Detail-oriented. Experience in credentialing and/or privileging. Able to work in deadline-driven environment. Multi-tasking. Excellent customer service skills.