Medical Services Professional I

Staff_02 Halifax Staffing Inc.; Daytona Beach (FL); On-site; USD 42,000 - 64,000; Full time

Job summary

Halifax Health in Daytona Beach, FL, seeks a Day (United States of America) Medical Services Professional I to support credentialing, privileging, enrollment, and source verifications, ensuring accuracy and regulatory compliance.

You will collaborate with hospital leadership and practitioners, maintain records, and respond to inquiries while protecting confidential information and upholding patient safety standards.

Qualifications

• High School Diploma required; Associate degree preferred.
• Certified Credentialing Specialist (CPCS) preferred.
• Experience in provider credentialing or Medical Staff services is a plus.

Responsibilities

• Conducts credentialing and privileging activities; determines initial eligibility for membership/participation.
• Compiles and presents practitioner data for review by decision bodies.
• Evaluates application materials for completeness and informs applicants of status.
• Processes Medical Staff appointments and reappointments per policies and standards.
• Performs primary source verification and resolves discrepancies.
• Verifies expirables and maintains credentialing databases.
• Responds to external queries regarding practitioners’ status.
• Collaborates with hospital leadership and staff to meet enrollment goals.

Skills

Customer service orientation

Interpersonal skills

Communication skills

Time management

Professionalism

Education

High school diploma

Associate degree preferred

Certified Credentialing Specialist (CPCS) preferred

Credentialing experience

Job description

Day (United States of America) Medical Services Professional I

The Medical Services Professional supports departmental activities to ensure quality in conducting, maintaining, and communicating physician credentialing, privileging, enrollment, and source verifications. Serves as a resource to, and collaborates with, others to advance the quality of practitioners and patient safety of the facility.

JOB QUALIFICATIONS

Minimal High School Graduate; Associate degree preferred Certified Credentialing Specialist (CPCS) preferred Experience in provider credentialing and/or Medical Staff services a plus

SKILLS AND EXPERIENCE

Very strong customer service orientation, positive attitude, highly self-motivated, directed and change oriented Must have strong interpersonal skills; the ability to respond appropriately to inquiries in a timely manner; prioritizing workload is mandatory Inspires trust and confidence among stakeholders through reliability, authenticity, and accountability. Expresses thoughts clearly, concisely, and effectively both verbally and in writing. Ensures a free flow of information and communication upward, downward and across the organization by actively listening and encouraging the open expression of ideas and opinions. Displays a credible presence and positive image. Uses appropriate protocol for professional and social situations. Establishes productive, cooperative relationships with peers, management, and stakeholders both internal and external to the organization.

DUTIES AND RESPONSIBILITIES

• Conducts, participates in, and maintains credentialing and privileging Determines applicant’s initial eligibility for membership/participation.
• Compiles, evaluates, and presents the practitioner-specific data collected for review by one or more decision‑making bodies
• Analyzes application and supporting documents for completeness and informs the practitioner of the application status, including the need for any additional information
• Accurately and timely processes Medical Staff appointments, reappointments and expirables according to organizational policies; operational procedures; and governmental and regulatory agency standards.
• Conducts, participates in, and maintains primary source verification Obtains and evaluates information from primary sources.
• Recognizes, investigates, and validates discrepancies and adverse information obtained from the application, primary source verifications, or other sources.
• Verifies and documents expirables using acceptable verification sources to ensure compliance with accreditation and regulatory standards.
• Provides responses to external queries regarding practitioners’ status.
• Maintains credentialing database to ensure that accurate and current information is available to all stakeholders.
• Works with Hospital Managers, leadership, physicians, allied health professionals and staff in a professional manner.
• Protect provider confidential information and documents.
• Communicate effectively with all contracts both internal and external in order to accomplish enrollment goals.
• Must comply with all Halifax Health policy and procedures manuals
• Other duties as assigned.

OTHER RESPONSIBILITIES

Completes annual learning requirements, reviewing fire safety and Isolation precaution policies, applicable code reviews, disaster plan reviews, policies on handling hazardous and toxic substances, and risk management issues. Demonstrates an interest in patient safety education and participates proactively in identifying problems and incidents in the department and throughout the hospital which place any patient, visitor, or staff member at risk or injury. Modifies work schedule to meet department goals and deadlines. Follows EMTALA, HIPAA, The Joint Commission, URAC, NCQA, CMS and other regulations and standards. Observes hospital and department guidelines concerning dress and display of name badge, presenting an appearance appropriate to the work environment. Adheres to department customer service standards. Readily identifies work that needs to be performed and completes it without needing to be told. Demonstrates a positive and friendly demeanor even in stressful situations to ensure a positive experience for all customers. Communicates in a respectful, positive way with fellow colleagues.

We're glad you're here. As a cornerstone of our community, we need strong, compassionate and talented medical professionals just like you. Our team works together to ensure that families receive the highest-quality care in a pleasant setting where they feel valued.

Recognized as one of the 50 Top Cardiovascular Hospitals in the United States by IBM Watson Health, Halifax Health serves Volusia and Flagler counties, providing a continuum of health care services through a network of organizations including a tertiary hospital, two community hospitals, urgent care clinics, psychiatric services, a cancer treatment center with five outreach locations, the area’s largest hospice, a center for inpatient rehabilitation, outpatient rehabilitation clinics, primary care walk-in clinics, a clinic specializing in women’s health, a pediatric care community clinic, five pediatric medical practices, a home health care agency and an exclusive provider organization. Halifax Health offers the area’s only Level II Trauma Center, Thrombectomy-Capable Stroke Center (TSC), Center for Transplant Services, Pediatric Intensive Care Unit, Child and Adolescent Behavioral Services, complete Neurosurgical Services, OB Emergency Department and Level III Neonatal Intensive Care Unit that cares for babies born earlier than 28 weeks.