Coordinator Med Staff Services

HCA Healthcare; Nashville (TN); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Work from home

Medical benefits

401(k) with match

Tuition assistance

Career development

Wellbeing programs

Job summary

HCA Healthcare seeks a Credentialing Specialist to manage credentialing applications, evaluations and communications with providers and facilities. You will ensure compliance with policy, maintain Cactus records, and prepare reviews for facility leadership.

Experience with the Cactus system and Meditech is preferred, with a High School diploma required and CPCS certification preferred. This role supports remote-enabled collaboration across the Capital Division teams.

Qualifications

• High school diploma required; associate degree preferred.
• 1+ year credentialing experience required.
• CPCS certification preferred.

Responsibilities

• Initiate applications for providers meeting minimum eligibility criteria.
• Apply credentialing evaluation process uniformly to RFC/R-RFC/RFINCP requests.
• Communicate with providers and facility staff to obtain missing information and status.
• Facilitate review of credentialing requests using approved eligibility criteria.
• Prepare credentialing information for facility review and decisions.
• Maintain Cactus records and generate monthly downtime reports.

Skills

Credentialing

Data entry

Communication

Education

High School diploma

Associate degree preferred

Tools

Cactus system

Meditech

eSAF

Job description

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized.

Job Summary And Qualifications

• Initiate applications (RFC, RRFC, RFINCP) on behalf of Capital Division facilities for providers who meet minimal Threshold Eligibility Criteria (as defined in HCA Model Credentials Policy).
• Apply the credentials evaluation process uniformly to all assigned RFC/applications, R-RFC/re-applications and Request For Increased, New Clinical Privileges, or Change in Prescriptive Authority(RFINCP) requests, including processing of flags, to ensure compliance with credentialing procedures.
• In partnership with CPC and facility MSPs, communicate with providers and delegates to obtain missing or incomplete information and regarding status of requests/applications.
• Facilitate review of clinical privilege requests using approved eligibility criteria and maintain privilege content within the Cactus system.
• Compile and analyze any available internal data and information for an assessment of qualifications and competencies for R-RFC/re-applications.
• Summarize and prepare credentialing information, including information about flagged concerns, for facility review.
• In partnership with Division and facility leadership, facilitate requests for temporary privileges communicating with CPC leadership as needed.
• Perform activities that support the facility dynamic expiration management process, communicating with both providers and the facility management team (PARA.PP.CRED.36 and MSS-003).
• Perform facility post Board of Trustees processes including updates to the Cactus system record, eSAF and Meditech to reflect all Board actions on a practitioner’s Request for Consideration (RFC), Re-Request for Consideration (R-RFC), Request For Increased, New Clinical Privileges, or Change in Presa. Prescriptive Authority (RFINCP), including resignations, terminations, LOAs, denials, terminations, or withdrawals in accordance with facility and CPC policy (PARA.PP.CRED.28 and MSS-013) .
• Utilize the Cactus system to create and upload applicable communication letters to providers based on Board/Facility actions.
• Scan Board/Facility communication and approval documentation to Cactus provider records.
• Generate and save Cactus Downtime reports monthly for each facility.
• Respond to emails and voicemails promptly; monitor shared mailbox and calendar.
• Perform hospital non-privileged provider licensure, NPI and exclusion checks in accordance with Ethics & Compliance Policy COG.PPA.002.
• Support and facilitate information Sharing in accordance with COG.PPA.001.
• Support communicable disease tracking/compliance.
• Assist with preparation for regulatory, internal and accreditation surveys.
• Respond to annual QIO Audits (KEPRO) on behalf of Division facilities.
• Manage Physician Learning Center/Healthstream database for provider education.
• Submit eSAF system access requests for new access, removals and changes to existing access.
• Manage and update the Meditech/eHR Dictionary related to practitioner permissions and privileges.
• Attend Division Medical Staff Services meetings – scheduled as needed (Webcam required).
• Work scheduled hours and communicate any changes to supervisor.
• Collaborate with Division leaders on pertinent projects as needed and perform other duties as assigned.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required.

EDUCATION

High School diploma or equivalent required. Associate Degree or higher preferred.

Experience

At least one (1) year previous Med Staff Services credentialing experience required.

HCA Healthcare Credentialing And Cactus Experience Preferred.

CERTIFICATION

Certified Provider Credentialing Specialist (CPCS) preferred.

Benefits

Work from Home, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn More About Employee Benefits

Note: Eligibility for benefits may vary by location.

Capital Division which encompasses 19 hospitals overall. Our hospitals include one Level I, three Level II, and four Level III trauma centers. The Capital Division office is located in downtown Richmond, VA. We are home to one of HCA's largest hospitals, 500 bed + Chippenham Hospital.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.