Medical Staff Credential Coordinator

Presbyterian Healthcare Services; Albuquerque (NM); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Comprehensive benefits package

Medical, dental, and vision insurance

Short-term and long-term disability

Job summary

Presbyterian Healthcare Services is hiring a Medical Staff Credential Coordinator in Albuquerque, NM. This full-time role involves ensuring compliance with credentialing processes, managing special projects, and providing excellent customer service. The ideal candidate should have an Associate's Degree in medical staff services and 3-5 years of relevant experience.

As a subject matter expert, you will support the credentialing program, audit data accuracy, and monitor processes. A comprehensive benefits package is available to all eligible employees.

Qualifications

• Three to five years of experience in medical staff affairs or credentialing.
• Ability to handle multiple projects simultaneously.
• In-depth knowledge of credentialing processes and requirements.

Responsibilities

• Ensure compliance with Medical Staff Bylaws and Regulations.
• Manage special projects related to credentialing processes.
• Provide excellent customer service to providers and clients.

Skills

Public relation skills

Excellent time management

Organizational skills

Education

Associate's Degree/Diploma in medical staff services studies

Certification as CPMSM or CPCS

Job description

Location Address: 1100 Central Ave SE Albuquerque, NM 87106-4930

Compensation Pay Range: Minimum Offer $0.00 Maximum Offer $0.00

Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Medical Staff Credential Coordinator to support the Medical and Allied Health Staff credentialing/primary sourcing verification program by coordinating and developing internal processes in order to meet requirements of federal and state regulatory and national accreditation agencies. Monitors timeliness of processes and provides feedback and/or reports to the appropriate manager. Audits accuracy of data entry in the credentialing database and provides feedback to appropriate internal and external customers. This position requires in-depth knowledge of medical and allied health staff credentialing processes and requirements. Investigates issues of concern and conducts follow-up as needed, generates reports and presents findings to the Manager of Medical Staff Affairs (MSA) or Manager of Credentials Verification Organization (CVO). Serves as a subject matter expert to other PHS departments and facilities as it relates to the processing of initial and/or reappointment applications and/or privileging.

Type of Opportunity: Full time

Job Exempt: Yes

Job is based: Presbyterian Hospital

Work Shift: Days (United States of America)

Responsibilities

This person will be responsible for assigned duties and responsibilities to ensure compliance with the Medical Staff Bylaws, Rules/Regulations and/or the daily work flow of the CVO. Works with the appropriate manager in the development of policies and procedures to meet regulatory and accreditation requirements. Manages special projects as assigned.

• Assists the Medical Director Department leadership in managing activities to ensure a coordinated effort to fulfill departmental responsibilities within its long-range plans and goals.
• Exercises discretion and independent judgment involving the comparison and the evaluation of possible courses of action related to meeting primary source verification and credentialing requirements. Acts or reaches decisions independently after the various possibilities have been considered. Investigates discrepancies in data submittal related to applications and privileging and formulates appropriate course of action.
• Provides excellent customer service by responding to provider, client, and customer inquiries within specified timeframes, as required by the department.
• Maintains statistical information relative to the department's quality indicators.
• Responsible for orientation/training of new and current employees as it relates to departmental procedures, credentialing database, and daily work.
• Serves as a subject matter expert on appropriate national accreditation agencies and federal/state regulations pertaining to required credentialing processes.
• Maintains knowledge base of appropriate national accrediting agencies.

Qualifications

• Associate's Degree/Diploma in medical staff services studies, or a related field preferred.
• Three to five years experience in medical staff affairs/credentialing, credentials verification organization, or related field preferred.
• Public relation skills required in order to be effective and behave in a professional manner when dealing with practitioners and customers.
• Requires excellent time management and organizational skills in order to handle multiple projects simultaneously.
• Certification or eligibility for certification as a Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred.

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.