Medical Staff Coordinator

Valleywise Health; Phoenix (AZ); On-site; USD 42,682 - 62,962; Full time

Job summary

Valleywise Health in Phoenix, AZ, is seeking a Credentialing Specialist under Medical Staff Services to credential medical staff and qualified advanced practitioners and to coordinate Medical Staff activities.

Requires knowledge of credentialing concepts, TJC, CMS, NCQA; three years admin experience; CPCS/CPMSM preferred; strong communication and organizational skills; proficient in Microsoft Office and Cactus.

Qualifications

• Requires an Associate's or Bachelor's degree in a related field of work; or an equivalent combination of training and progressively responsible administrative experience that will result in the required specialized knowledge and abilities to perform the assigned work.
• Must have a minimum of three (3) years of progressively responsible administrative-related experience that demonstrates an understanding of the required knowledge, skills, and abilities.
• Prefer certification as CPCS or CPMSM for credentialing professionals.

Responsibilities

• Credential Medical Staff and qualified advanced practitioners as directed by Medical Staff Services Manager.
• Coordinate Medical Staff activities and related credentialing processes.
• Interpret and apply The Joint Commission, CMS, NCQA and AHCCCS standards in credentialing decisions.

Skills

Credentialing concepts

TJC standards

DNV standards

CMS standards

NCQA standards

Medicare requirements

AHCCCS requirements

Microsoft Office

Cactus

Written communication

Oral communication

Detail oriented

Teamwork

Organizational skills

Education

Associate's or Bachelor's degree

Tools

Microsoft Office

Cactus

Job description

Under the direction of the Medical Staff Services Manager, this position credentials Medical Staff and qualified advanced practitioners at Valleywise Health and provides coordination for Medical Staff activities.

Annual Salary Rate: $42,681.60 - $62,961.60

Qualifications

Education

Requires an Associate'sorBachelor's degree in a related field of work; or an equivalent combination of training and progressively responsible administrative experience that will result in the required specialized knowledge and abilities to perform the assigned work.

Experience

Must have a minimum of three (3) years of progressively responsible administrative-related experience that demonstrates an understanding of the required knowledge, skills, and abilities.

Prior experience as a Medical Staff Services Professional, health plan/physician private practice professional is preferred.

Certification/Licensure

Prefer certification as a Certified Professional Credentialing Specialist (CPCS) or Certified Professional in Medical Staff Management (CPMSM).

Knowledge, Skills, and Abilities

Must know credentialing concepts, The Joint Commission (TJC), DNV, CMS, and NCQA standards, Medicare and AHCCCS requirements, and be adept in the interpretation of medical staff bylaws, credentialing policies, and medical staff policies and procedures.

Must be proficient in Microsoft Office Software, and Cactus.

Must have excellent written and oral communication skills, aptitude for detail, good teamwork, and excellent organizational and follow-up skills.

Requires the ability to read, write, and speak effectively in English.