Medical Staff Coordinator

US Tech Solutions; San Francisco (CA); On-site; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a skilled Credentialing Specialist to enhance medical staff services. This role involves overseeing the credentialing process, ensuring compliance with accreditation standards, and managing provider data within credentialing systems. You will collaborate across departments, screen applicants, and prepare files for committee review. If you have a strong background in healthcare administration and are passionate about ensuring the integrity of medical staff activities, this opportunity offers a dynamic work environment with potential for professional growth and development.

Qualifications

• 3+ years in credentialing, compliance, audit, or healthcare administration.
• Proficiency in Cactus, ECHO, and Microsoft Office Suite.

Responsibilities

• Oversee ED Call Schedule and manage committee meetings.
• Audit credentialing applications and ensure compliance with regulations.

Skills

Credentialing

Compliance

Audit

Healthcare Administration

Analytical Skills

Multitasking

Problem-Solving

Communication

Education

Bachelor’s degree in a related field

Tools

Cactus

ECHO

Microsoft Office Suite

Job description

Duration: 06 Months contract with possible extension

Key Responsibilities:

1. Oversee ED Call Schedule and manage committee meetings, including minutes, agendas, and scheduling.
2. Screen and pre-vet applicants, ensuring all credentialing data is accurate and complete.
3. Enter and maintain provider data in credentialing systems (Cactus, ECHO).
4. Audit completed credentialing applications and route files for departmental approval.
5. Prepare credentialing files for committee review/approval and ensure compliance with bylaws and accreditation standards (TJC, NCQA, CMS, state/federal regulations).
6. Assist with OPPE/FPPE competency data and track expiring licenses/certifications.

Required Qualifications:

1. Minimum 3 years of experience in credentialing, compliance, audit, or healthcare administration.
2. Bachelor’s degree in a related field or equivalent experience/training.
3. Proficiency in Cactus and ECHO credentialing systems, Microsoft Office Suite, and data management.
4. Strong analytical, multitasking, and problem-solving skills with the ability to work under deadlines.
5. Ability to collaborate across departments and effectively communicate with stakeholders.

Certification Requirement:

1. Must obtain Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) within 18 months of hire.

Preferred Qualifications:

1. Experience in a community hospital setting.
2. Expert knowledge of accreditation and regulatory requirements (TJC, NCQA, CMS, etc.).

Job Function Summary:

1. Involves the development, implementation, and monitoring of effective and efficient systems to facilitate all aspects of medical staff services and credentialing.
2. Provides for the processing of applications and verification of physician licensing and certifications.
3. May also involve the preparation of agendas and related materials for medical staff meetings and peer review activities.
4. May serve as the liaison between the medical staff and all hospital departments to coordinate and provide overall continuity of medical staff activities.
5. Monitors compliance with medical staff bylaws, rules, regulations, policies, and procedures.